Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $10,000.00 / $20,892.96	Facility		$3,981.07	$10,000.00	$20,892.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,220.18 / $17,782.79	Facility		$6,456.54	$11,220.18	$17,782.79
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 $977.24 / $1,318.26 / $1,778.28	Professional		$977.24	$1,318.26	$1,778.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,412.54 / $3,019.95	Professional		$1,071.52	$1,412.54	$3,019.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $10,232.93	Facility		$54.95	$56.23	$10,232.93
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility	AS	$1,023.29	$1,023.29	$1,023.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,621.81 / $2,454.71	Facility		$1,230.27	$1,621.81	$2,454.71
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