Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,020.36 / $10,061.00 / $20,509.00	Facility		$3,020.36	$10,061.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,597.00 / $12,360.00 / $23,933.00	Facility		$4,597.00	$12,360.00	$23,933.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $7,344.10	Facility		$63.50	$100.00	$7,344.10
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,287.41 / $1,623.53 / $3,758.65	Professional		$1,287.41	$1,623.53	$3,758.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,818.99 / $3,644.62 / $6,628.59	Professional		$2,818.99	$3,644.62	$6,628.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $58,842.42 / $72,863.28	Facility		$55.00	$58,842.42	$72,863.28
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $587.22 / $1,370.61 / $1,426.32	Facility	AS	$587.22	$1,370.61	$1,426.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,490.01 / $3,603.32 / $5,011.54	Facility		$2,490.01	$3,603.32	$5,011.54
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