Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,164.93 / $10,061.00 / $22,788.00	Facility		$3,164.93	$10,061.00	$22,788.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,651.12 / $14,752.00 / $32,242.00	Facility		$4,651.12	$14,752.00	$32,242.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $16,381.88	Facility		$63.50	$100.00	$16,381.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,820.54 / $4,268.32 / $5,904.00	Professional		$2,820.54	$4,268.32	$5,904.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,535.35 / $5,860.64 / $19,396.00	Professional		$4,535.35	$5,860.64	$19,396.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $93,103.29 / $114,807.21	Facility		$55.00	$93,103.29	$114,807.21
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $5,800.46 / $13,541.08 / $14,043.08	Facility	62	$5,800.46	$13,541.08	$14,043.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,577.45 / $5,524.13 / $7,424.43	Facility		$3,577.45	$5,524.13	$7,424.43
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $7,130.14 / $7,130.14 / $7,130.14	Facility	62	$7,130.14	$7,130.14	$7,130.14
United Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $5,159.00 / $20,279.00	Facility		$2,009.00	$5,159.00	$20,279.00