Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,446.94 / $10,406.00 / $22,788.00	Facility		$2,446.94	$10,406.00	$22,788.00
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 / $10,373.42	Facility		$63.50	$100.00	$10,373.42
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.80 / $2,403.37 / $3,243.41	Professional		$1,905.80	$2,403.37	$3,243.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,245.44 / $2,901.25 / $5,253.64	Professional		$2,245.44	$2,901.25	$5,253.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $46,713.66 / $57,817.41	Facility		$55.00	$46,713.66	$57,817.41
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $2,913.03 / $6,801.77 / $7,089.44	Facility	62	$2,913.03	$6,801.77	$7,089.44
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $466.08 / $1,088.28 / $1,134.31	Facility	AS	$466.08	$1,088.28	$1,134.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,339.28 / $3,070.68 / $4,337.74	Facility		$2,339.28	$3,070.68	$4,337.74
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