Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,112.33 / $9,639.00 / $20,509.00	Facility		$1,112.33	$9,639.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,437.00 / $10,705.00 / $22,232.00	Facility		$4,437.00	$10,705.00	$22,232.00
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 $945.64 / $1,193.96 / $1,432.75	Professional		$945.64	$1,193.96	$1,432.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,077.98 / $1,387.74 / $2,515.12	Professional		$1,077.98	$1,387.74	$2,515.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $13,513.11 / $16,713.06	Facility		$55.00	$13,513.11	$16,713.06
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $217.40 / $509.10 / $536.69	Facility	AS	$217.40	$509.10	$536.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,129.88 / $1,493.15 / $2,155.14	Facility		$1,129.88	$1,493.15	$2,155.14
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $361.26 / $361.26 / $361.26	Facility	AS	$361.26	$361.26	$361.26
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