Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $6,025.60 / $16,595.87	Facility		$1,584.89	$6,025.60	$16,595.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $12,882.50	Facility		$2,570.40	$4,466.84	$12,882.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $426.58 / $5,888.44	Facility		$64.57	$426.58	$5,888.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $60.26 / $104.71	Professional		$41.69	$60.26	$104.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $77.62 / $141.25	Professional		$38.02	$77.62	$141.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $19,498.45 / $19,498.45	Facility		$275.42	$19,498.45	$19,498.45
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $27.54 / $27.54 / $27.54	Facility	AS	$27.54	$27.54	$27.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $66.07 / $112.20	Facility		$39.81	$66.07	$112.20
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $7.59 / $7.59 / $7.59	Facility	AS	$7.59	$7.59	$7.59
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,584.89 / $6,760.83	Facility		$588.84	$1,584.89	$6,760.83