Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,790.12 / $10,051.00 / $20,509.00	Facility		$1,790.12	$10,051.00	$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 / $7,340.45	Facility		$63.50	$100.00	$7,340.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,180.56 / $1,786.54 / $2,420.23	Professional		$1,180.56	$1,786.54	$2,420.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,827.37 / $2,384.58 / $4,244.03	Professional		$1,827.37	$2,384.58	$4,244.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $21,658.20 / $26,184.36	Facility		$55.00	$21,658.20	$26,184.36
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $372.57 / $877.86 / $913.46	Facility	AS	$372.57	$877.86	$913.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,923.08 / $2,401.63 / $3,241.41	Facility		$1,923.08	$2,401.63	$3,241.41
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $614.29 / $614.29 / $614.29	Facility	AS	$614.29	$614.29	$614.29
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,067.00 / $20,279.00	Facility		$2,047.00	$5,067.00	$20,279.00