Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,210.87 / $6,880.00 / $17,393.00	Facility		$2,210.87	$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 $1,861.13 / $2,541.78 / $3,431.40	Professional		$1,861.13	$2,541.78	$3,431.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,056.53 / $2,795.96 / $5,846.09	Professional		$2,056.53	$2,795.96	$5,846.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $8,314.65 / $11,161.46	Facility		$2,000.00	$8,314.65	$11,161.46
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $3,200.13 / $6,434.68 / $6,975.91	Facility	62	$3,200.13	$6,434.68	$6,975.91
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $512.02 / $1,029.55 / $1,116.15	Facility	AS	$512.02	$1,029.55	$1,116.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,099.98 / $2,819.74 / $3,877.14	Facility		$2,099.98	$2,819.74	$3,877.14
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $3,371.09 / $3,371.09 / $3,371.09	Facility	62	$3,371.09	$3,371.09	$3,371.09
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $863.00 / $863.00 / $863.00	Facility	80	$863.00	$863.00	$863.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $733.55 / $733.55 / $733.55	Facility	AS	$733.55	$733.55	$733.55
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