Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,081.04 / $6,880.00 / $17,902.00	Facility		$2,081.04	$6,880.00	$17,902.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $7,309.00 / $15,328.00	Facility		$2,629.00	$7,309.00	$15,328.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $12,835.92	Facility		$66.00	$100.00	$12,835.92
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $311.24 / $388.69 / $466.86	Professional		$311.24	$388.69	$466.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $356.23 / $465.11 / $833.94	Professional		$356.23	$465.11	$833.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,165.20 / $13,486.75	Facility		$55.00	$4,165.20	$13,486.75
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $82.95 / $1,279.44 / $1,279.44	Facility	AS	$82.95	$1,279.44	$1,279.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $360.99 / $449.55 / $621.90	Facility		$360.99	$449.55	$621.90
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $121.22 / $121.22 / $121.22	Facility	AS	$121.22	$121.22	$121.22
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,377.00 / $26,672.00	Facility		$5,799.00	$12,377.00	$26,672.00