Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,749.85 / $9,639.00 / $20,509.00	Facility		$1,749.85	$9,639.00	$20,509.00
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 / $7,340.45	Facility		$63.50	$100.00	$7,340.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,252.42 / $1,579.40 / $2,186.19	Professional		$1,252.42	$1,579.40	$2,186.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,513.52 / $1,951.06 / $3,593.26	Professional		$1,513.52	$1,951.06	$3,593.26
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 / $24,739.36 / $30,552.96	Facility		$55.00	$24,739.36	$30,552.96
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $2,023.86 / $4,716.47 / $4,845.21	Facility	62	$2,023.86	$4,716.47	$4,845.21
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $323.82 / $754.64 / $775.23	Facility	AS	$323.82	$754.64	$775.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,657.76 / $2,272.85 / $3,169.18	Facility		$1,657.76	$2,272.85	$3,169.18
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