Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,016.68 / $9,639.00 / $20,509.00	Facility		$1,016.68	$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 / $12,897.76	Facility		$66.00	$100.00	$12,897.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,017.70 / $1,119.47 / $1,323.01	Professional		$1,017.70	$1,119.47	$1,323.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $915.93 / $1,165.21 / $2,154.06	Professional		$915.93	$1,165.21	$2,154.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,106.46 / $13,856.55	Facility		$55.00	$10,106.46	$13,856.55
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $220.12 / $1,314.53 / $1,314.53	Facility	AS	$220.12	$1,314.53	$1,314.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $982.72 / $1,310.24 / $1,888.37	Facility		$982.72	$1,310.24	$1,888.37
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,722.00 / $29,571.00	Facility		$7,212.00	$13,722.00	$29,571.00