Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,089.46 / $9,871.00 / $20,135.00	Facility		$3,089.46	$9,871.00	$20,135.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,662.00 / $13,255.00 / $35,774.62	Facility		$4,662.00	$13,255.00	$35,774.62
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $5,485.17	Facility		$63.50	$100.00	$5,485.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,919.21 / $2,234.63 / $2,878.82	Professional		$1,919.21	$2,234.63	$2,878.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,011.17 / $2,604.79 / $4,787.47	Professional		$2,011.17	$2,604.79	$4,787.47
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $500.00 / $500.00 / $500.00	Professional	80	$500.00	$500.00	$500.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $22,747.01 / $27,992.36	Facility		$55.00	$22,747.01	$27,992.36
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $2,707.94 / $6,305.98 / $6,458.54	Facility	62	$2,707.94	$6,305.98	$6,458.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,112.56 / $2,669.97 / $3,598.21	Facility		$2,112.56	$2,669.97	$3,598.21
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