Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,316.80 / $9,639.00 / $20,509.00	Facility		$1,316.80	$9,639.00	$20,509.00
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 $63.50 / $98.70 / $13,719.51	Facility		$63.50	$98.70	$13,719.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $748.90 / $1,519.23 / $1,823.08	Professional		$748.90	$1,519.23	$1,823.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,367.31 / $1,747.11 / $3,104.07	Professional		$1,367.31	$1,747.11	$3,104.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $11,359.17 / $14,343.39	Facility		$55.00	$11,359.17	$14,343.39
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $265.33 / $621.57 / $670.20	Facility	AS	$265.33	$621.57	$670.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,368.37 / $1,708.67 / $2,451.89	Facility		$1,368.37	$1,708.67	$2,451.89
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $439.78 / $439.78 / $439.78	Facility	AS	$439.78	$439.78	$439.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $5,159.00 / $20,279.00	Facility		$2,009.00	$5,159.00	$20,279.00