Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $8,912.51 / $20,417.38	Facility		$3,715.35	$8,912.51	$20,417.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,715.19 / $17,782.79	Facility		$6,025.60	$10,715.19	$17,782.79
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $85.11 / $104.71	Professional		$77.62	$85.11	$104.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $89.13 / $208.93	Professional		$66.07	$89.13	$208.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Facility		$3,801.89	$3,801.89	$3,801.89
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $52.48 / $52.48 / $52.48	Facility	AS	$52.48	$52.48	$52.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $97.72 / $162.18	Facility		$75.86	$97.72	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,584.89 / $6,456.54	Facility		$588.84	$1,584.89	$6,456.54