Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $9,674.00 / $21,960.90	Facility		$2,421.00	$9,674.00	$21,960.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,314.00 / $10,117.00 / $20,418.00	Facility		$4,314.00	$10,117.00	$20,418.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $100.00 / $5,509.60	Facility		$64.20	$100.00	$5,509.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,013.40 / $1,094.81 / $1,423.25	Professional		$1,013.40	$1,094.81	$1,423.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $971.41 / $1,258.75 / $2,215.40	Professional		$971.41	$1,258.75	$2,215.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $7,122.48 / $9,043.20	Facility		$55.00	$7,122.48	$9,043.20
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $186.94 / $439.01 / $478.33	Facility	AS	$186.94	$439.01	$478.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $945.68 / $1,208.40 / $1,727.00	Facility		$945.68	$1,208.40	$1,727.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $312.23 / $312.23 / $312.23	Facility	AS	$312.23	$312.23	$312.23
United Facility/Professional Facility Modifier Low / Median / High Price $4,110.00 / $9,707.00 / $21,278.00	Facility		$4,110.00	$9,707.00	$21,278.00