Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $9,665.00 / $20,509.00	Facility		$873.00	$9,665.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,043.00 / $8,932.00 / $18,903.00	Facility		$4,043.00	$8,932.00	$18,903.00
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 $617.65 / $934.68 / $1,190.41	Professional		$617.65	$934.68	$1,190.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $892.81 / $1,143.36 / $2,070.60	Professional		$892.81	$1,143.36	$2,070.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $8,546.90 / $10,399.90	Facility		$55.00	$8,546.90	$10,399.90
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $176.61 / $417.06 / $441.93	Facility	AS	$176.61	$417.06	$441.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $906.28 / $1,133.93 / $1,597.74	Facility		$906.28	$1,133.93	$1,597.74
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $290.49 / $290.49 / $290.49	Facility	AS	$290.49	$290.49	$290.49
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