Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $641.77 / $9,639.00 / $20,509.00	Facility		$641.77	$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 $647.69 / $709.23 / $894.40	Professional		$647.69	$709.23	$894.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $582.91 / $756.49 / $1,490.00	Professional		$582.91	$756.49	$1,490.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,545.98 / $2,978.39	Facility		$55.00	$1,545.98	$2,978.39
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $124.06 / $289.14 / $297.83	Facility	AS	$124.06	$289.14	$297.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $627.03 / $812.63 / $1,155.00	Facility		$627.03	$812.63	$1,155.00
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