Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,507.18 / $9,639.00 / $22,788.00	Facility		$1,507.18	$9,639.00	$22,788.00
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 / $5,485.17	Facility		$63.50	$100.00	$5,485.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $746.09 / $1,129.06 / $1,987.81	Professional		$746.09	$1,129.06	$1,987.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,490.86 / $1,911.91 / $3,425.18	Professional		$1,490.86	$1,911.91	$3,425.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $17,106.48 / $21,130.56	Facility		$55.00	$17,106.48	$21,130.56
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $1,854.63 / $4,359.80 / $4,622.05	Facility	62	$1,854.63	$4,359.80	$4,622.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,526.48 / $1,911.91 / $2,753.59	Facility		$1,526.48	$1,911.91	$2,753.59
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $2,258.44 / $2,258.44 / $2,258.44	Facility	62	$2,258.44	$2,258.44	$2,258.44
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