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 $61.66 / $100.00 / $6,025.60	Facility		$61.66	$100.00	$6,025.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,000.00 / $1,230.27	Professional		$812.83	$1,000.00	$1,230.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,122.02 / $2,187.76	Professional		$851.14	$1,122.02	$2,187.76
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 / $10,964.78	Facility		$54.95	$56.23	$10,964.78
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility	AS	$1,047.13	$1,047.13	$1,047.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,479.11 / $2,398.83	Facility		$1,096.48	$1,479.11	$2,398.83
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