Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,422.64 / $9,639.00 / $20,509.00	Facility		$1,422.64	$9,639.00	$20,509.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $67,393.27 / $67,393.27 / $67,393.27	Facility	50	$67,393.27	$67,393.27	$67,393.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,734.00 / $12,567.00 / $28,484.71	Facility		$4,734.00	$12,567.00	$28,484.71
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 $1,632.10 / $1,795.31 / $2,121.73	Professional		$1,632.10	$1,795.31	$2,121.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,468.89 / $1,887.54 / $3,410.60	Professional		$1,468.89	$1,887.54	$3,410.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $17,246.64 / $20,934.00	Facility		$55.00	$17,246.64	$20,934.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $296.63 / $699.84 / $733.84	Facility	AS	$296.63	$699.84	$733.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,434.81 / $1,870.69 / $2,622.37	Facility		$1,434.81	$1,870.69	$2,622.37
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $489.25 / $489.25 / $489.25	Facility	AS	$489.25	$489.25	$489.25
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