Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.44 / $9,639.00 / $20,509.00	Facility		$193.44	$9,639.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,437.00 / $10,117.00 / $19,252.00	Facility		$4,437.00	$10,117.00	$19,252.00
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 $166.05 / $189.38 / $246.19	Professional		$166.05	$189.38	$246.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $171.77 / $220.64 / $438.00	Professional		$171.77	$220.64	$438.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $682.32 / $865.21	Facility		$55.00	$682.32	$865.21
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $35.76 / $83.41 / $86.52	Facility	AS	$35.76	$83.41	$86.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $180.16 / $223.30 / $305.12	Facility		$180.16	$223.30	$305.12
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