Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $10,471.29 / $23,988.33	Facility		$3,715.35	$10,471.29	$23,988.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $7,943.28 / $15,848.93	Facility		$4,570.88	$7,943.28	$15,848.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $6,025.60	Facility		$60.26	$100.00	$6,025.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $398.11 / $549.54	Professional		$263.03	$398.11	$549.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $537.03 / $1,023.29	Professional		$407.38	$537.03	$1,023.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $3,019.95	Facility		$54.95	$56.23	$3,019.95
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $302.00 / $302.00 / $302.00	Facility	AS	$302.00	$302.00	$302.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $630.96 / $1,122.02	Facility		$457.09	$630.96	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $6,165.95 / $18,620.87	Facility		$1,995.26	$6,165.95	$18,620.87