Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $9,006.00 / $20,509.00	Facility		$873.00	$9,006.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,540.00 / $12,800.00 / $24,456.00	Facility		$5,540.00	$12,800.00	$24,456.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $15,962.24	Facility		$63.50	$100.00	$15,962.24
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $351.08 / $364.23 / $473.50	Professional		$351.08	$364.23	$473.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $329.72 / $419.65 / $784.45	Professional		$329.72	$419.65	$784.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,595.13 / $4,459.84	Facility		$55.00	$3,595.13	$4,459.84
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $68.52 / $159.86 / $166.11	Facility	AS	$68.52	$159.86	$166.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $346.15 / $428.64 / $586.86	Facility		$346.15	$428.64	$586.86
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