Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,715.19 / $24,547.09	Facility		$4,466.84	$10,715.19	$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 / $9,332.54	Facility		$60.26	$100.00	$9,332.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,187.76 / $2,691.53	Professional		$1,513.56	$2,187.76	$2,691.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,398.83 / $4,786.30	Professional		$1,819.70	$2,398.83	$4,786.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $26,302.68	Facility		$5,011.87	$5,011.87	$26,302.68
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Facility	AS	$2,630.27	$2,630.27	$2,630.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,630.27 / $4,073.80	Facility		$2,041.74	$2,630.27	$4,073.80
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