Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $624.24 / $9,639.00 / $20,509.00	Facility		$624.24	$9,639.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $7,166.00 / $15,328.00	Facility		$2,629.00	$7,166.00	$15,328.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $15,276.89	Facility		$66.00	$100.00	$15,276.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $521.22 / $603.48 / $784.52	Professional		$521.22	$603.48	$784.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $543.13 / $689.38 / $1,278.70	Professional		$543.13	$689.38	$1,278.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,801.35 / $13,856.55	Facility		$55.00	$3,801.35	$13,856.55
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $130.12 / $1,314.53 / $1,314.53	Facility	AS	$130.12	$1,314.53	$1,314.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $585.58 / $795.31 / $1,092.00	Facility		$585.58	$795.31	$1,092.00
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,784.00 / $29,571.00	Facility		$7,696.00	$13,784.00	$29,571.00