Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,784.17 / $10,443.00 / $22,788.00	Facility		$2,784.17	$10,443.00	$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 / $8,393.26	Facility		$63.50	$100.00	$8,393.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,935.96 / $2,441.40 / $3,662.10	Professional		$1,935.96	$2,441.40	$3,662.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,582.51 / $3,336.24 / $6,040.72	Professional		$2,582.51	$3,336.24	$6,040.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $53,726.40 / $66,415.64	Facility		$55.00	$53,726.40	$66,415.64
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $535.66 / $1,251.32 / $1,304.25	Facility	AS	$535.66	$1,251.32	$1,304.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,677.74 / $3,430.98 / $4,606.70	Facility		$2,677.74	$3,430.98	$4,606.70
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,159.00 / $20,279.00	Facility		$2,047.00	$5,159.00	$20,279.00