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 $6,025.60 / $10,471.29 / $17,782.79	Facility		$6,025.60	$10,471.29	$17,782.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $100.00 / $8,128.31	Facility		$63.10	$100.00	$8,128.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,412.54 / $1,905.46	Professional		$588.84	$1,412.54	$1,905.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,548.82 / $2,884.03	Professional		$1,148.15	$1,548.82	$2,884.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $13,803.84	Facility		$54.95	$56.23	$13,803.84
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility	AS	$1,380.38	$1,380.38	$1,380.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,548.82 / $2,344.23	Facility		$1,202.26	$1,548.82	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $18,197.01 / $38,904.51	Facility		$9,549.93	$18,197.01	$38,904.51