Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,063.67 / $9,665.00 / $20,573.82	Facility		$1,063.67	$9,665.00	$20,573.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,597.00 / $11,079.59 / $23,931.00	Facility		$4,597.00	$11,079.59	$23,931.00
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 $497.39 / $752.70 / $1,450.54	Professional		$497.39	$752.70	$1,450.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,087.90 / $1,406.35 / $2,549.66	Professional		$1,087.90	$1,406.35	$2,549.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $11,625.57 / $14,222.23	Facility		$55.00	$11,625.57	$14,222.23
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $1,366.12 / $3,220.63 / $3,388.65	Facility	62	$1,366.12	$3,220.63	$3,388.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,127.39 / $1,419.68 / $2,111.53	Facility		$1,127.39	$1,419.68	$2,111.53
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $1,665.73 / $1,665.73 / $1,665.73	Facility	62	$1,665.73	$1,665.73	$1,665.73
United Facility/Professional Facility Modifier Low / Median / High Price $1,732.00 / $5,067.00 / $20,279.00	Facility		$1,732.00	$5,067.00	$20,279.00