Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,020.00 / $6,229.00 / $17,538.00	Facility		$2,020.00	$6,229.00	$17,538.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $5,208.17 / $10,230.41	Facility		$2,160.00	$5,208.17	$10,230.41
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $100.00 / $5,238.60	Facility		$64.20	$100.00	$5,238.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $389.21 / $511.29 / $831.49	Professional		$389.21	$511.29	$831.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $618.83 / $796.85 / $1,423.31	Professional		$618.83	$796.85	$1,423.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,430.71 / $7,890.52	Facility		$55.00	$6,430.71	$7,890.52
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $120.72 / $285.66 / $305.79	Facility	AS	$120.72	$285.66	$305.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $596.94 / $772.51 / $1,108.66	Facility		$596.94	$772.51	$1,108.66
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $198.65 / $198.65 / $198.65	Facility	AS	$198.65	$198.65	$198.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,943.00 / $4,060.00 / $9,131.00	Facility		$1,943.00	$4,060.00	$9,131.00