Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,351.10 / $10,051.00 / $20,509.00	Facility		$2,351.10	$10,051.00	$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 / $98.70 / $13,719.51	Facility		$63.50	$98.70	$13,719.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,039.46 / $1,310.84 / $2,318.53	Professional		$1,039.46	$1,310.84	$2,318.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,738.90 / $2,231.10 / $4,547.00	Professional		$1,738.90	$2,231.10	$4,547.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $28,232.96 / $34,873.12	Facility		$55.00	$28,232.96	$34,873.12
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $262.08 / $969.89 / $969.89	Facility	AS	$262.08	$969.89	$969.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,045.18 / $2,581.92 / $3,619.75	Facility		$2,045.18	$2,581.92	$3,619.75
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