Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,471.29 / $23,442.29	Facility		$4,466.84	$10,471.29	$23,442.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $13,803.84 / $22,908.68	Facility		$8,511.38	$13,803.84	$22,908.68
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $100.00 / $6,025.60	Facility		$61.66	$100.00	$6,025.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,071.52 / $1,995.26	Professional		$707.95	$1,071.52	$1,995.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,905.46 / $3,548.13	Professional		$1,445.44	$1,905.46	$3,548.13
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $501.19 / $501.19 / $501.19	Professional	80	$501.19	$501.19	$501.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $29,512.09	Facility		$54.95	$56.23	$29,512.09
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Facility	AS	$2,951.21	$2,951.21	$2,951.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,041.74 / $3,162.28	Facility		$1,513.56	$2,041.74	$3,162.28
United Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $17,782.79 / $38,904.51	Facility		$9,120.11	$17,782.79	$38,904.51