Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $907.79 / $9,665.00 / $21,960.90	Facility		$907.79	$9,665.00	$21,960.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,108.00 / $10,189.00 / $22,008.00	Facility		$4,108.00	$10,189.00	$22,008.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $5,485.17	Facility		$63.50	$100.00	$5,485.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $559.94 / $847.36 / $1,213.64	Professional		$559.94	$847.36	$1,213.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.99 / $1,196.35 / $2,142.80	Professional		$912.99	$1,196.35	$2,142.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $14,091.20 / $17,449.59	Facility		$55.00	$14,091.20	$17,449.59
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $184.14 / $431.29 / $454.62	Facility	AS	$184.14	$431.29	$454.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $940.51 / $1,227.10 / $1,765.50	Facility		$940.51	$1,227.10	$1,765.50
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $307.20 / $307.20 / $307.20	Facility	AS	$307.20	$307.20	$307.20
United Facility/Professional Facility Modifier Low / Median / High Price $8,822.00 / $18,315.00 / $45,545.00	Facility		$8,822.00	$18,315.00	$45,545.00