Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $466.19 / $9,639.00 / $21,960.90	Facility		$466.19	$9,639.00	$21,960.90
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 $264.70 / $400.57 / $603.72	Professional		$264.70	$400.57	$603.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $466.77 / $591.90 / $1,096.76	Professional		$466.77	$591.90	$1,096.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,091.69 / $2,321.66	Facility		$55.00	$1,091.69	$2,321.66
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $96.83 / $227.53 / $232.17	Facility	AS	$96.83	$227.53	$232.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $470.63 / $625.91 / $936.69	Facility		$470.63	$625.91	$936.69
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $160.63 / $160.63 / $160.63	Facility	AS	$160.63	$160.63	$160.63
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