Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $6,025.60 / $16,982.44	Facility		$1,737.80	$6,025.60	$16,982.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,481.54 / $17,782.79	Facility		$6,456.54	$11,481.54	$17,782.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $2,187.76	Facility		$60.26	$100.00	$2,187.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $208.93 / $263.03	Professional		$158.49	$208.93	$263.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $239.88 / $457.09	Professional		$181.97	$239.88	$457.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $5,011.87 / $5,011.87	Facility		$3,548.13	$5,011.87	$5,011.87
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility	62	$2,238.72	$2,238.72	$2,238.72
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $354.81 / $354.81 / $354.81	Facility	AS	$354.81	$354.81	$354.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $245.47 / $380.19	Facility		$194.98	$245.47	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $2,137.96 / $27,542.29	Facility		$588.84	$2,137.96	$27,542.29