Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $264.73 / $9,639.00 / $20,509.00	Facility		$264.73	$9,639.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,399.48 / $5,915.51 / $12,527.00	Facility		$2,399.48	$5,915.51	$12,527.00
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 $285.48 / $314.02 / $371.12	Professional		$285.48	$314.02	$371.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $264.89 / $342.58 / $622.35	Professional		$264.89	$342.58	$622.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $597.32 / $1,332.36	Facility		$55.00	$597.32	$1,332.36
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $38.45 / $133.24 / $133.24	Facility	AS	$38.45	$133.24	$133.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $271.32 / $356.85 / $566.10	Facility		$271.32	$356.85	$566.10
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $90.97 / $90.97 / $90.97	Facility	AS	$90.97	$90.97	$90.97
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