Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,232.93 / $21,379.62	Facility		$4,466.84	$10,232.93	$21,379.62
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
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,148.15 / $7,413.10	Professional		$1,047.13	$1,148.15	$7,413.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,148.15 / $1,862.09	Professional		$851.14	$1,148.15	$1,862.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $6,309.57 / $6,309.57	Facility		$6,309.57	$6,309.57	$6,309.57
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $630.96 / $630.96 / $630.96	Facility	AS	$630.96	$630.96	$630.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,174.90 / $1,905.46	Facility		$912.01	$1,174.90	$1,905.46
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