Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,548.90 / $7,346.25 / $7,346.25	Facility		$6,548.90	$7,346.25	$7,346.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,314.00 / $13,271.00 / $41,473.83	Facility		$4,314.00	$13,271.00	$41,473.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $2,708.04 / $5,291.30 / $9,799.96	Facility		$2,708.04	$5,291.30	$9,799.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,428.50 / $1,571.35 / $1,928.48	Professional		$1,428.50	$1,571.35	$1,928.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,164.33 / $1,615.91 / $2,897.93	Professional		$1,164.33	$1,615.91	$2,897.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $7,170.05 / $7,318.30	Facility		$55.00	$7,170.05	$7,318.30
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $245.21 / $576.61 / $625.69	Facility	AS	$245.21	$576.61	$625.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,406.95 / $1,664.94 / $2,499.00	Facility		$1,406.95	$1,664.94	$2,499.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $406.03 / $406.03 / $406.03	Facility	AS	$406.03	$406.03	$406.03