Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $765.21 / $9,639.00 / $20,509.00	Facility		$765.21	$9,639.00	$20,509.00
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 $550.26 / $832.70 / $1,030.74	Professional		$550.26	$832.70	$1,030.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $773.06 / $1,012.23 / $1,781.52	Professional		$773.06	$1,012.23	$1,781.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $11,869.60 / $14,685.28	Facility		$55.00	$11,869.60	$14,685.28
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $155.06 / $363.47 / $384.65	Facility	AS	$155.06	$363.47	$384.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $809.78 / $1,068.23 / $1,627.01	Facility		$809.78	$1,068.23	$1,627.01
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $258.60 / $258.60 / $258.60	Facility	AS	$258.60	$258.60	$258.60
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