Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $11,481.54 / $23,988.33	Facility		$5,248.07	$11,481.54	$23,988.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $11,748.98 / $18,620.87	Facility		$6,918.31	$11,748.98	$18,620.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $100.00 / $17,782.79	Facility		$61.66	$100.00	$17,782.79
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $691.83 / $891.25	Professional		$676.08	$691.83	$891.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $741.31 / $1,513.56	Professional		$575.44	$741.31	$1,513.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $9,332.54	Facility		$54.95	$56.23	$9,332.54
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $7,585.78 / $7,585.78 / $7,585.78	Facility	52	$7,585.78	$7,585.78	$7,585.78
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Facility	53	$1,862.09	$1,862.09	$1,862.09
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $5,888.44 / $5,888.44 / $5,888.44	Facility	62	$5,888.44	$5,888.44	$5,888.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $933.25 / $1,380.38	Facility		$660.69	$933.25	$1,380.38
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