Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.02 / $9,639.00 / $20,935.34	Facility		$1,621.02	$9,639.00	$20,935.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,437.00 / $11,282.67 / $24,104.86	Facility		$4,437.00	$11,282.67	$24,104.86
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $100.00 / $7,121.41	Facility		$64.20	$100.00	$7,121.41
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,400.59 / $1,775.18 / $2,130.21	Professional		$1,400.59	$1,775.18	$2,130.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,577.59 / $2,005.79 / $3,636.41	Professional		$1,577.59	$2,005.79	$3,636.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $8,685.42 / $10,870.26	Facility		$5,897.00	$8,685.42	$10,870.26
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $303.41 / $713.16 / $776.01	Facility	AS	$303.41	$713.16	$776.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,565.57 / $2,011.30 / $3,182.51	Facility		$1,565.57	$2,011.30	$3,182.51
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $503.01 / $503.01 / $503.01	Facility	AS	$503.01	$503.01	$503.01
United Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $5,465.00 / $21,955.00	Facility		$2,009.00	$5,465.00	$21,955.00