Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $10,232.93 / $22,908.68	Facility		$4,168.69	$10,232.93	$22,908.68
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 $64.57 / $3,388.44 / $9,549.93	Facility		$64.57	$3,388.44	$9,549.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,778.28 / $2,398.83	Professional		$1,318.26	$1,778.28	$2,398.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,949.84 / $3,801.89	Professional		$1,479.11	$1,949.84	$3,801.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $21,379.62	Facility		$5,011.87	$5,011.87	$21,379.62
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility	AS	$2,137.96	$2,137.96	$2,137.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,137.96 / $3,388.44	Facility		$1,659.59	$2,137.96	$3,388.44
United Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $14,125.38 / $28,840.32	Facility		$7,762.47	$14,125.38	$28,840.32