Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $10,000.00 / $22,908.68	Facility		$3,548.13	$10,000.00	$22,908.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,220.18 / $17,782.79	Facility		$6,456.54	$11,220.18	$17,782.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $14,791.08	Facility		$60.26	$100.00	$14,791.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,122.02 / $1,380.38	Professional		$1,047.13	$1,122.02	$1,380.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,174.90 / $2,290.87	Professional		$912.01	$1,174.90	$2,290.87
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $501.19 / $501.19 / $501.19	Professional	80	$501.19	$501.19	$501.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $13,489.63	Facility		$54.95	$56.23	$13,489.63
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility	AS	$1,348.96	$1,348.96	$1,348.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,445.44 / $2,290.87	Facility		$1,148.15	$1,445.44	$2,290.87
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