Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $10,471.29 / $24,547.09	Facility		$3,981.07	$10,471.29	$24,547.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $7,943.28 / $15,488.17	Facility		$4,570.88	$7,943.28	$15,488.17
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 $162.18 / $181.97 / $229.09	Professional		$162.18	$181.97	$229.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $186.21 / $346.74	Professional		$141.25	$186.21	$346.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $5,011.87 / $5,011.87	Facility		$2,754.23	$5,011.87	$5,011.87
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $275.42 / $275.42 / $275.42	Facility	AS	$275.42	$275.42	$275.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $223.87 / $398.11	Facility		$165.96	$223.87	$398.11
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