Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $7,585.78 / $18,197.01	Facility		$3,019.95	$7,585.78	$18,197.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,489.63	Facility		$3,630.78	$6,165.95	$13,489.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $2,187.76 / $17,378.01	Facility		$64.57	$2,187.76	$17,378.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $123.03 / $165.96	Professional		$117.49	$123.03	$165.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $138.04 / $331.13	Professional		$104.71	$138.04	$331.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $4,073.80	Facility		$1,995.26	$1,995.26	$4,073.80
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $83.18 / $83.18 / $83.18	Facility	AS	$83.18	$83.18	$83.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $169.82 / $281.84	Facility		$128.82	$169.82	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,584.89 / $6,456.54	Facility		$588.84	$1,584.89	$6,456.54