Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,228.94 / $6,880.00 / $17,393.00	Facility		$2,228.94	$6,880.00	$17,393.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,425.38 / $9,557.00 / $19,252.00	Facility		$4,425.38	$9,557.00	$19,252.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $100.00 / $11,407.14	Facility		$64.00	$100.00	$11,407.14
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,848.84 / $2,557.75 / $3,452.96	Professional		$1,848.84	$2,557.75	$3,452.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,068.61 / $2,813.53 / $5,882.83	Professional		$2,068.61	$2,813.53	$5,882.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $8,342.69 / $15,913.20	Facility		$2,000.00	$8,342.69	$15,913.20
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $3,214.54 / $6,477.24 / $7,019.94	Facility	62	$3,214.54	$6,477.24	$7,019.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,088.81 / $2,768.48 / $3,764.51	Facility		$2,088.81	$2,768.48	$3,764.51
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $3,390.17 / $3,390.17 / $3,390.17	Facility	62	$3,390.17	$3,390.17	$3,390.17
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $867.88 / $867.88 / $867.88	Facility	80	$867.88	$867.88	$867.88
United Facility/Professional Facility Modifier Low / Median / High Price $4,092.00 / $7,483.00 / $16,148.00	Facility		$4,092.00	$7,483.00	$16,148.00