Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,495.94 / $9,639.00 / $20,509.00	Facility		$1,495.94	$9,639.00	$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 $1,469.84 / $1,763.81 / $2,204.76	Professional		$1,469.84	$1,763.81	$2,204.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,520.74 / $1,971.93 / $3,519.10	Professional		$1,520.74	$1,971.93	$3,519.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $17,795.16 / $21,765.00	Facility		$55.00	$17,795.16	$21,765.00
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $1,921.28 / $4,521.58 / $4,748.78	Facility	62	$1,921.28	$4,521.58	$4,748.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,591.37 / $1,994.28 / $2,982.20	Facility		$1,591.37	$1,994.28	$2,982.20
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $2,341.75 / $2,341.75 / $2,341.75	Facility	62	$2,341.75	$2,341.75	$2,341.75
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