Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,414.19 / $10,061.00 / $20,509.00	Facility		$2,414.19	$10,061.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,846.00 / $12,360.00 / $23,933.00	Facility		$3,846.00	$12,360.00	$23,933.00
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 $1,379.00 / $1,739.03 / $2,997.60	Professional		$1,379.00	$1,739.03	$2,997.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,248.19 / $2,903.93 / $5,255.89	Professional		$2,248.19	$2,903.93	$5,255.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $46,688.46 / $57,797.25	Facility		$55.00	$46,688.46	$57,797.25
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $465.82 / $1,087.83 / $1,134.79	Facility	AS	$465.82	$1,087.83	$1,134.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,319.92 / $2,925.04 / $4,131.27	Facility		$2,319.92	$2,925.04	$4,131.27
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