Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,943.82 / $10,061.00 / $20,509.00	Facility		$1,943.82	$10,061.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,734.00 / $12,567.00 / $28,484.71	Facility		$4,734.00	$12,567.00	$28,484.71
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $8,389.08	Facility		$63.50	$100.00	$8,389.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,180.56 / $1,786.54 / $2,640.73	Professional		$1,180.56	$1,786.54	$2,640.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,992.14 / $2,599.58 / $4,613.49	Professional		$1,992.14	$2,599.58	$4,613.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $21,636.78 / $26,241.71	Facility		$55.00	$21,636.78	$26,241.71
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $405.96 / $956.73 / $996.09	Facility	AS	$405.96	$956.73	$996.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,097.04 / $2,619.33 / $3,594.34	Facility		$2,097.04	$2,619.33	$3,594.34
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $669.77 / $669.77 / $669.77	Facility	AS	$669.77	$669.77	$669.77
United Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $5,159.00 / $20,279.00	Facility		$2,009.00	$5,159.00	$20,279.00