Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,429.00 / $10,061.00 / $22,788.00	Facility		$4,429.00	$10,061.00	$22,788.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,863.00 / $14,752.00 / $32,242.00	Facility		$5,863.00	$14,752.00	$32,242.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $98.70 / $13,719.51	Facility		$63.50	$98.70	$13,719.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $4,944.29 / $5,438.72 / $6,427.58	Professional		$4,944.29	$5,438.72	$6,427.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,449.85 / $5,584.24 / $13,201.25	Professional		$4,449.85	$5,584.24	$13,201.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $93,120.30 / $115,030.23	Facility		$55.00	$93,120.30	$115,030.23
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $5,803.05 / $13,549.59 / $14,083.43	Facility	62	$5,803.05	$13,549.59	$14,083.43
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $928.49 / $2,167.94 / $2,253.35	Facility	AS	$928.49	$2,167.94	$2,253.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,117.09 / $5,692.67 / $7,967.89	Facility		$3,117.09	$5,692.67	$7,967.89
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