Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,017.68 / $10,061.00 / $20,509.00	Facility		$2,017.68	$10,061.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,294.00 / $14,348.00 / $32,242.00	Facility		$4,294.00	$14,348.00	$32,242.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $8,389.08	Facility		$63.50	$100.00	$8,389.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,399.85 / $1,765.32 / $2,647.98	Professional		$1,399.85	$1,765.32	$2,647.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,870.07 / $2,384.52 / $4,750.00	Professional		$1,870.07	$2,384.52	$4,750.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $38,837.82 / $48,025.11	Facility		$55.00	$38,837.82	$48,025.11
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $387.18 / $904.66 / $943.87	Facility	AS	$387.18	$904.66	$943.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,964.80 / $2,617.21 / $3,779.78	Facility		$1,964.80	$2,617.21	$3,779.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,319.00 / $20,279.00	Facility		$2,047.00	$5,319.00	$20,279.00