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 / $23,988.33	Facility		$4,466.84	$10,715.19	$23,988.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,220.18 / $17,782.79	Facility		$6,456.54	$11,220.18	$17,782.79
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 $1,122.02 / $1,202.26 / $1,621.81	Professional		$1,122.02	$1,202.26	$1,621.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,318.26 / $2,511.89	Professional		$1,000.00	$1,318.26	$2,511.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $11,481.54	Facility		$54.95	$56.23	$11,481.54
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Facility	AS	$1,148.15	$1,148.15	$1,148.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,412.54 / $2,398.83	Facility		$1,096.48	$1,412.54	$2,398.83
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