Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.49 / $9,690.00 / $21,960.90	Facility		$787.49	$9,690.00	$21,960.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,662.00 / $13,634.00 / $63,311.00	Facility		$4,662.00	$13,634.00	$63,311.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $100.00 / $5,485.17	Facility		$64.00	$100.00	$5,485.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $691.36 / $871.21 / $1,045.45	Professional		$691.36	$871.21	$1,045.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $776.68 / $976.34 / $1,818.85	Professional		$776.68	$976.34	$1,818.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $12,210.72 / $15,067.52	Facility		$55.00	$12,210.72	$15,067.52
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $159.62 / $373.61 / $392.71	Facility	AS	$159.62	$373.61	$392.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $804.07 / $1,009.68 / $1,398.38	Facility		$804.07	$1,009.68	$1,398.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,319.00 / $20,279.00	Facility		$2,047.00	$5,319.00	$20,279.00