Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,530.35 / $10,321.00 / $20,766.00	Facility		$3,530.35	$10,321.00	$20,766.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,329.00 / $12,567.00 / $28,484.71	Facility		$5,329.00	$12,567.00	$28,484.71
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $16,381.88	Facility		$63.50	$100.00	$16,381.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,686.52 / $2,552.21 / $4,718.78	Professional		$1,686.52	$2,552.21	$4,718.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,572.72 / $4,651.10 / $8,257.29	Professional		$3,572.72	$4,651.10	$8,257.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $42,218.28 / $51,283.32	Facility		$55.00	$42,218.28	$51,283.32
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $4,552.96 / $10,707.40 / $11,142.67	Facility	62	$4,552.96	$10,707.40	$11,142.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,635.31 / $4,548.72 / $6,291.71	Facility		$3,635.31	$4,548.72	$6,291.71
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $5,563.28 / $5,563.28 / $5,563.28	Facility	62	$5,563.28	$5,563.28	$5,563.28
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