Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,858.00 / $19,011.00	Facility		$1,992.00	$7,858.00	$19,011.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $7,028.00 / $15,328.00	Facility		$2,629.00	$7,028.00	$15,328.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,778.71	Facility		$66.00	$100.00	$9,778.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $513.03 / $646.97 / $1,005.18	Professional		$513.03	$646.97	$1,005.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $746.11 / $932.64 / $1,745.96	Professional		$746.11	$932.64	$1,745.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,652.25 / $7,984.00	Facility		$55.00	$3,652.25	$7,984.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $193.81 / $757.42 / $757.42	Facility	AS	$193.81	$757.42	$757.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $793.62 / $1,034.83 / $1,624.99	Facility		$793.62	$1,034.83	$1,624.99
United Facility/Professional Facility Modifier Low / Median / High Price $5,200.00 / $9,810.00 / $22,073.00	Facility		$5,200.00	$9,810.00	$22,073.00