Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,837.65 / $9,987.74 / $20,509.00	Facility		$1,837.65	$9,987.74	$20,509.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $360.13 / $367.53 / $1,997.55	Facility	53	$360.13	$367.53	$1,997.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,218.51 / $10,323.00 / $25,841.00	Facility		$1,218.51	$10,323.00	$25,841.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $1,694.68	Facility		$63.50	$100.00	$1,694.68
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,594.56 / $1,853.56 / $2,391.84	Professional		$1,594.56	$1,853.56	$2,391.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,662.71 / $2,089.58 / $3,885.97	Professional		$1,662.71	$2,089.58	$3,885.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $26,186.24 / $32,515.84	Facility		$55.00	$26,186.24	$32,515.84
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $685.81 / $1,602.53 / $1,678.03	Facility	53	$685.81	$1,602.53	$1,678.03
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $2,143.15 / $5,007.89 / $5,243.85	Facility	62	$2,143.15	$5,007.89	$5,243.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,722.51 / $2,161.52 / $2,975.17	Facility		$1,722.51	$2,161.52	$2,975.17
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