Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $7,943.28 / $18,197.01	Facility		$3,090.30	$7,943.28	$18,197.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,220.18 / $17,782.79	Facility		$6,456.54	$11,220.18	$17,782.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $100.00 / $12,882.50	Facility		$63.10	$100.00	$12,882.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,238.72 / $2,951.21	Professional		$1,862.09	$2,238.72	$2,951.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,398.83 / $5,248.07	Professional		$1,819.70	$2,398.83	$5,248.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $15,488.17	Facility		$1,995.26	$1,995.26	$15,488.17
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $9,772.37 / $9,772.37 / $9,772.37	Facility	62	$9,772.37	$9,772.37	$9,772.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,454.71 / $3,890.45	Facility		$1,905.46	$2,454.71	$3,890.45
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Facility	62	$2,398.83	$2,398.83	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $7,585.78 / $15,135.61	Facility		$4,073.80	$7,585.78	$15,135.61