Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,471.29 / $22,908.68	Facility		$4,466.84	$10,471.29	$22,908.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,481.54 / $17,782.79	Facility		$6,456.54	$11,481.54	$17,782.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $100.00 / $6,025.60	Facility		$61.66	$100.00	$6,025.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,148.15 / $1,479.11	Professional		$1,047.13	$1,148.15	$1,479.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,288.25 / $2,511.89	Professional		$977.24	$1,288.25	$2,511.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $12,302.69	Facility		$54.95	$56.23	$12,302.69
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility	AS	$1,230.27	$1,230.27	$1,230.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,659.59 / $2,398.83	Facility		$1,258.93	$1,659.59	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $6,165.95 / $18,620.87	Facility		$2,041.74	$6,165.95	$18,620.87