Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $966.78 / $9,639.00 / $20,509.00	Facility		$966.78	$9,639.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,518.00 / $8,747.39 / $21,259.64	Facility		$3,518.00	$8,747.39	$21,259.64
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $100.00 / $5,403.01	Facility		$64.20	$100.00	$5,403.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $484.36 / $732.98 / $1,345.52	Professional		$484.36	$732.98	$1,345.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,012.22 / $1,325.89 / $2,362.23	Professional		$1,012.22	$1,325.89	$2,362.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $15,596.96 / $19,297.91	Facility		$55.00	$15,596.96	$19,297.91
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $204.02 / $477.61 / $503.84	Facility	AS	$204.02	$477.61	$503.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,030.36 / $1,289.14 / $1,765.87	Facility		$1,030.36	$1,289.14	$1,765.87
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $340.40 / $340.40 / $340.40	Facility	AS	$340.40	$340.40	$340.40
United Facility/Professional Facility Modifier Low / Median / High Price $6,385.00 / $13,722.00 / $29,571.00	Facility		$6,385.00	$13,722.00	$29,571.00