Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $9,639.00 / $20,509.00	Facility		$873.00	$9,639.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,233.00 / $14,350.00 / $29,048.00	Facility		$3,233.00	$14,350.00	$29,048.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $1,693.95	Facility		$63.50	$100.00	$1,693.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $372.67 / $428.00 / $556.40	Professional		$372.67	$428.00	$556.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $387.45 / $493.15 / $907.02	Professional		$387.45	$493.15	$907.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $928.42 / $1,952.06	Facility		$55.00	$928.42	$1,952.06
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $503.29 / $1,174.16 / $1,220.04	Facility	62	$503.29	$1,174.16	$1,220.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $400.24 / $503.69 / $689.62	Facility		$400.24	$503.69	$689.62
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,533.00 / $6,920.00	Facility		$548.00	$1,533.00	$6,920.00