Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $10,471.29 / $25,703.96	Facility		$4,168.69	$10,471.29	$25,703.96
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $5,623.41 / $5,623.41 / $5,623.41	Facility	22	$5,623.41	$5,623.41	$5,623.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $11,481.54 / $18,620.87	Facility		$6,918.31	$11,481.54	$18,620.87
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 $794.33 / $1,380.38 / $1,862.09	Professional		$794.33	$1,380.38	$1,862.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,513.56 / $2,951.21	Professional		$1,122.02	$1,513.56	$2,951.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $10,715.19	Facility		$54.95	$56.23	$10,715.19
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility	AS	$1,071.52	$1,071.52	$1,071.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,659.59 / $2,630.27	Facility		$1,288.25	$1,659.59	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $12,302.69 / $25,703.96	Facility		$6,760.83	$12,302.69	$25,703.96