Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $7,945.00 / $19,860.00	Facility		$2,197.85	$7,945.00	$19,860.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,012.00	Facility		$2,143.00	$5,944.00	$13,012.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,677.87	Facility		$66.00	$100.00	$9,677.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $310.87 / $392.03 / $1,039.55	Professional		$310.87	$392.03	$1,039.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $779.66 / $983.12 / $1,823.36	Professional		$779.66	$983.12	$1,823.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,406.52 / $7,984.00	Facility		$55.00	$5,406.52	$7,984.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $184.81 / $757.42 / $757.42	Facility	AS	$184.81	$757.42	$757.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $509.17 / $872.10 / $1,256.11	Facility		$509.17	$872.10	$1,256.11
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