Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $10,964.78 / $25,118.86	Facility		$4,897.79	$10,964.78	$25,118.86
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 $66.07 / $5,011.87 / $16,982.44	Facility		$66.07	$5,011.87	$16,982.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,288.25 / $1,737.80	Professional		$933.25	$1,288.25	$1,737.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,445.44 / $2,754.23	Professional		$1,096.48	$1,445.44	$2,754.23
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 / $13,803.84	Facility		$54.95	$56.23	$13,803.84
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility	AS	$1,380.38	$1,380.38	$1,380.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,698.24 / $2,818.38	Facility		$1,288.25	$1,698.24	$2,818.38
United Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $12,302.69 / $25,703.96	Facility		$6,760.83	$12,302.69	$25,703.96