Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $875.04 / $9,665.00 / $21,960.90	Facility		$875.04	$9,665.00	$21,960.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,597.00 / $11,055.00 / $23,736.18	Facility		$4,597.00	$11,055.00	$23,736.18
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 $863.74 / $1,036.49 / $1,295.60	Professional		$863.74	$1,036.49	$1,295.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $867.43 / $1,113.36 / $2,019.06	Professional		$867.43	$1,113.36	$2,019.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,781.94 / $13,336.70	Facility		$55.00	$10,781.94	$13,336.70
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $173.34 / $406.46 / $430.90	Facility	AS	$173.34	$406.46	$430.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $888.77 / $1,162.80 / $1,568.91	Facility		$888.77	$1,162.80	$1,568.91
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $289.07 / $289.07 / $289.07	Facility	AS	$289.07	$289.07	$289.07
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