Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,471.29 / $24,547.09	Facility		$4,466.84	$10,471.29	$24,547.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,748.98 / $18,620.87	Facility		$6,456.54	$11,748.98	$18,620.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $8,128.31	Facility		$60.26	$100.00	$8,128.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $2,041.74	Professional		$1,148.15	$1,621.81	$2,041.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,778.28 / $3,388.44	Professional		$1,348.96	$1,778.28	$3,388.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $15,848.93	Facility		$5,011.87	$5,011.87	$15,848.93
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility	AS	$1,584.89	$1,584.89	$1,584.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,949.84 / $3,090.30	Facility		$1,513.56	$1,949.84	$3,090.30
United Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $17,782.79 / $38,904.51	Facility		$9,120.11	$17,782.79	$38,904.51