Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,107.34 / $9,639.00 / $20,509.00	Facility		$1,107.34	$9,639.00	$20,509.00
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 $759.12 / $1,148.77 / $1,452.42	Professional		$759.12	$1,148.77	$1,452.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,090.89 / $1,402.16 / $2,547.25	Professional		$1,090.89	$1,402.16	$2,547.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $13,630.37 / $16,876.21	Facility		$55.00	$13,630.37	$16,876.21
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $219.55 / $513.94 / $543.09	Facility	AS	$219.55	$513.94	$543.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,121.73 / $1,486.36 / $1,980.00	Facility		$1,121.73	$1,486.36	$1,980.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $364.43 / $364.43 / $364.43	Facility	AS	$364.43	$364.43	$364.43
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,067.00 / $20,279.00	Facility		$2,047.00	$5,067.00	$20,279.00