Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $704.65 / $9,639.00 / $20,509.00	Facility		$704.65	$9,639.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,734.00 / $12,014.00 / $25,103.02	Facility		$4,734.00	$12,014.00	$25,103.02
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 $546.91 / $788.15 / $945.78	Professional		$546.91	$788.15	$945.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $709.34 / $926.93 / $1,650.39	Professional		$709.34	$926.93	$1,650.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,843.20 / $13,447.84	Facility		$55.00	$10,843.20	$13,447.84
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $141.63 / $332.13 / $352.23	Facility	AS	$141.63	$332.13	$352.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $741.54 / $977.03 / $1,533.54	Facility		$741.54	$977.03	$1,533.54
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $235.34 / $235.34 / $235.34	Facility	AS	$235.34	$235.34	$235.34
United Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $5,159.00 / $20,279.00	Facility		$2,009.00	$5,159.00	$20,279.00