Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,432.35 / $6,695.00 / $17,902.00	Facility		$1,432.35	$6,695.00	$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 $215.56 / $267.58 / $323.33	Professional		$215.56	$267.58	$323.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $242.42 / $316.99 / $567.79	Professional		$242.42	$316.99	$567.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,796.84 / $13,486.75	Facility		$55.00	$2,796.84	$13,486.75
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $56.30 / $1,279.44 / $1,279.44	Facility	AS	$56.30	$1,279.44	$1,279.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $247.69 / $310.01 / $428.13	Facility		$247.69	$310.01	$428.13
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $81.91 / $81.91 / $81.91	Facility	AS	$81.91	$81.91	$81.91
United Facility/Professional Facility Modifier Low / Median / High Price $5,830.00 / $12,341.00 / $26,451.00	Facility		$5,830.00	$12,341.00	$26,451.00