Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $9,120.11 / $23,442.29	Facility		$3,715.35	$9,120.11	$23,442.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $7,943.28 / $15,848.93	Facility		$4,570.88	$7,943.28	$15,848.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,073.80 / $10,964.78	Facility		$66.07	$4,073.80	$10,964.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $776.25 / $1,047.13	Professional		$512.86	$776.25	$1,047.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $851.14 / $1,621.81	Professional		$660.69	$851.14	$1,621.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $7,943.28	Facility		$54.95	$56.23	$7,943.28
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $794.33 / $794.33 / $794.33	Facility	AS	$794.33	$794.33	$794.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,023.29 / $1,659.59	Facility		$812.83	$1,023.29	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $10,000.00 / $20,892.96	Facility		$5,370.32	$10,000.00	$20,892.96