Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,105.42 / $10,321.00 / $22,788.00	Facility		$3,105.42	$10,321.00	$22,788.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,751.04 / $14,348.00 / $32,242.00	Facility		$4,751.04	$14,348.00	$32,242.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $1,693.95	Facility		$63.50	$100.00	$1,693.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,757.63 / $3,282.77 / $4,136.45	Professional		$2,757.63	$3,282.77	$4,136.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,954.49 / $3,790.66 / $6,949.54	Professional		$2,954.49	$3,790.66	$6,949.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $77,022.14 / $95,175.60	Facility		$55.00	$77,022.14	$95,175.60
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $620.46 / $1,447.81 / $1,500.47	Facility	AS	$620.46	$1,447.81	$1,500.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,074.19 / $3,869.62 / $5,277.16	Facility		$3,074.19	$3,869.62	$5,277.16
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