Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $532.67 / $9,639.00 / $20,509.00	Facility		$532.67	$9,639.00	$20,509.00
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 $532.02 / $539.82 / $728.76	Professional		$532.02	$539.82	$728.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $485.84 / $630.44 / $1,255.00	Professional		$485.84	$630.44	$1,255.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,288.40 / $2,481.73	Facility		$55.00	$1,288.40	$2,481.73
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $103.34 / $240.85 / $248.17	Facility	AS	$103.34	$240.85	$248.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $506.90 / $653.09 / $930.70	Facility		$506.90	$653.09	$930.70
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