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 $3,630.78 / $10,232.93 / $17,782.79	Facility		$3,630.78	$10,232.93	$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 $501.19 / $630.96 / $1,445.44	Professional		$501.19	$630.96	$1,445.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,318.26 / $2,570.40	Professional		$1,023.29	$1,318.26	$2,570.40
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 / $21,877.62	Facility		$54.95	$56.23	$21,877.62
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility	AS	$2,187.76	$2,187.76	$2,187.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,288.25 / $1,862.09	Facility		$794.33	$1,288.25	$1,862.09
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