Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $9,665.00 / $21,960.90	Facility		$873.00	$9,665.00	$21,960.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,294.00 / $14,348.00 / $32,242.00	Facility		$4,294.00	$14,348.00	$32,242.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $98.70 / $13,858.12	Facility		$63.50	$98.70	$13,858.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $354.80 / $408.79 / $532.20	Professional		$354.80	$408.79	$532.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $373.36 / $480.94 / $941.00	Professional		$373.36	$480.94	$941.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $903.41 / $2,082.75	Facility		$55.00	$903.41	$2,082.75
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $78.33 / $182.57 / $188.01	Facility	AS	$78.33	$182.57	$188.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $382.49 / $479.41 / $696.77	Facility		$382.49	$479.41	$696.77
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,372.00 / $20,279.00	Facility		$2,047.00	$5,372.00	$20,279.00