Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,426.83 / $9,674.00 / $21,960.90	Facility		$1,426.83	$9,674.00	$21,960.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,043.00 / $8,981.00 / $18,903.00	Facility		$4,043.00	$8,981.00	$18,903.00
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 $1,265.82 / $1,508.27 / $1,960.75	Professional		$1,265.82	$1,508.27	$1,960.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,357.44 / $1,698.15 / $3,186.59	Professional		$1,357.44	$1,698.15	$3,186.59
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 / $21,543.36 / $26,715.04	Facility		$55.00	$21,543.36	$26,715.04
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $1,761.01 / $4,114.74 / $4,286.25	Facility	62	$1,761.01	$4,114.74	$4,286.25
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $281.76 / $658.36 / $685.80	Facility	AS	$281.76	$658.36	$685.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,423.28 / $1,862.71 / $2,725.34	Facility		$1,423.28	$1,862.71	$2,725.34
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