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 $7,943.28 / $13,803.84 / $22,387.21	Facility		$7,943.28	$13,803.84	$22,387.21
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $6,309.57 / $17,378.01	Facility		$64.57	$6,309.57	$17,378.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,862.09 / $2,511.89	Professional		$1,513.56	$1,862.09	$2,511.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,041.74 / $3,890.45	Professional		$1,548.82	$2,041.74	$3,890.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $18,620.87	Facility		$54.95	$56.23	$18,620.87
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $11,481.54 / $11,481.54 / $11,481.54	Facility	62	$11,481.54	$11,481.54	$11,481.54
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Facility	AS	$1,862.09	$1,862.09	$1,862.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,187.76 / $3,715.35	Facility		$1,737.80	$2,187.76	$3,715.35
United Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $20,892.96 / $42,657.95	Facility		$10,715.19	$20,892.96	$42,657.95