Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $9,665.00 / $21,960.90	Facility		$873.00	$9,665.00	$21,960.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,108.00 / $10,189.00 / $22,008.00	Facility		$4,108.00	$10,189.00	$22,008.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $5,485.17	Facility		$63.50	$100.00	$5,485.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $505.96 / $765.66 / $1,011.70	Professional		$505.96	$765.66	$1,011.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.77 / $975.31 / $1,770.72	Professional		$758.77	$975.31	$1,770.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $9,478.69 / $11,737.70	Facility		$55.00	$9,478.69	$11,737.70
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $152.47 / $357.26 / $377.83	Facility	AS	$152.47	$357.26	$377.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $785.24 / $1,034.06 / $1,495.11	Facility		$785.24	$1,034.06	$1,495.11
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $253.69 / $253.69 / $253.69	Facility	AS	$253.69	$253.69	$253.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,732.00 / $5,067.00 / $20,279.00	Facility		$1,732.00	$5,067.00	$20,279.00