Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,232.93 / $21,379.62	Facility		$4,466.84	$10,232.93	$21,379.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,128.31 / $15,848.93	Facility		$4,570.88	$8,128.31	$15,848.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $100.00 / $9,120.11	Facility		$63.10	$100.00	$9,120.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,621.81 / $2,187.76	Professional		$1,023.29	$1,621.81	$2,187.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,778.28 / $3,162.28	Professional		$1,318.26	$1,778.28	$3,162.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $19,054.61	Facility		$1,995.26	$1,995.26	$19,054.61
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Facility	AS	$1,905.46	$1,905.46	$1,905.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,905.46 / $2,884.03	Facility		$1,479.11	$1,905.46	$2,884.03
United Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $14,125.38 / $28,840.32	Facility		$7,762.47	$14,125.38	$28,840.32