Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.58 / $9,639.00 / $20,509.00	Facility		$268.58	$9,639.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,204.00 / $8,727.00 / $17,774.00	Facility		$3,204.00	$8,727.00	$17,774.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $98.70 / $13,719.51	Facility		$63.50	$98.70	$13,719.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $216.68 / $261.89 / $340.47	Professional		$216.68	$261.89	$340.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $237.01 / $304.91 / $553.10	Professional		$237.01	$304.91	$553.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $939.64 / $1,300.00	Facility		$55.00	$939.64	$1,300.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $49.25 / $114.90 / $119.42	Facility	AS	$49.25	$114.90	$119.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $254.09 / $328.49 / $445.74	Facility		$254.09	$328.49	$445.74
United Facility/Professional Facility Modifier Low / Median / High Price $13,702.00 / $24,203.00 / $54,637.00	Facility		$13,702.00	$24,203.00	$54,637.00