Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,360.89 / $10,321.00 / $22,788.00	Facility		$4,360.89	$10,321.00	$22,788.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,047.97 / $14,312.00 / $32,828.00	Facility		$4,047.97	$14,312.00	$32,828.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $22,138.93	Facility		$63.90	$100.00	$22,138.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $5,786.23 / $7,811.41 / $11,326.00	Professional		$5,786.23	$7,811.41	$11,326.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,921.52 / $6,410.46 / $11,326.00	Professional		$4,921.52	$6,410.46	$11,326.00
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 / $188,241.61 / $192,324.31	Facility		$55.00	$188,241.61	$192,324.31
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $6,563.36 / $15,385.09 / $16,234.19	Facility	62	$6,563.36	$15,385.09	$16,234.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,721.29 / $6,446.06 / $9,393.25	Facility		$4,721.29	$6,446.06	$9,393.25
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $8,028.99 / $8,028.99 / $8,028.99	Facility	62	$8,028.99	$8,028.99	$8,028.99
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $2,055.42 / $2,055.42 / $2,055.42	Facility	80	$2,055.42	$2,055.42	$2,055.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,055.00 / $4,820.00 / $20,279.00	Facility		$1,055.00	$4,820.00	$20,279.00