Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,020.00 / $6,229.00 / $17,380.00	Facility		$2,020.00	$6,229.00	$17,380.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,329.05 / $5,913.00 / $12,527.00	Facility		$2,329.05	$5,913.00	$12,527.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $1,693.95	Facility		$63.50	$100.00	$1,693.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $353.69 / $430.94 / $530.54	Professional		$353.69	$430.94	$530.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $387.85 / $487.50 / $905.23	Professional		$387.85	$487.50	$905.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,442.14 / $4,231.08	Facility		$55.00	$3,442.14	$4,231.08
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $80.06 / $187.11 / $195.45	Facility	AS	$80.06	$187.11	$195.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $399.42 / $503.27 / $691.81	Facility		$399.42	$503.27	$691.81
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