Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $10,000.00 / $24,547.09	Facility		$2,754.23	$10,000.00	$24,547.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,715.19 / $17,782.79	Facility		$6,025.60	$10,715.19	$17,782.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $100.00 / $5,888.44	Facility		$61.66	$100.00	$5,888.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $295.12 / $398.11	Professional		$281.84	$295.12	$398.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $338.84 / $630.96	Professional		$257.04	$338.84	$630.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Facility		$5,011.87	$5,011.87	$5,011.87
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility	62	$3,162.28	$3,162.28	$3,162.28
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $501.19 / $501.19 / $501.19	Facility	AS	$501.19	$501.19	$501.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $407.38 / $691.83	Facility		$309.03	$407.38	$691.83
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