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 $6,025.60 / $10,471.29 / $17,782.79	Facility		$6,025.60	$10,471.29	$17,782.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $6,025.60	Facility		$60.26	$100.00	$6,025.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,230.27 / $1,584.89	Professional		$1,202.26	$1,230.27	$1,584.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $2,691.53	Professional		$1,047.13	$1,380.38	$2,691.53
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 / $12,882.50	Facility		$54.95	$56.23	$12,882.50
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility	AS	$1,288.25	$1,288.25	$1,288.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,778.28 / $2,818.38	Facility		$1,348.96	$1,778.28	$2,818.38
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