Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,483.00 / $6,598.00 / $17,809.00	Facility		$2,483.00	$6,598.00	$17,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,599.00 / $7,251.00 / $18,483.00	Professional		$2,599.00	$7,251.00	$18,483.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,518.00 / $7,303.00 / $15,399.00	Facility		$3,518.00	$7,303.00	$15,399.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $573.70 / $688.44 / $1,078.55	Professional		$573.70	$688.44	$1,078.55
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $2,261.53	Facility		$63.90	$100.00	$2,261.53
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,726.05 / $2,726.05 / $2,862.35	Professional		$2,726.05	$2,726.05	$2,862.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $4,731.00 / $17,033.14	Professional		$393.93	$4,731.00	$17,033.14
United Facility/Professional Facility Modifier Low / Median / High Price $5,116.00 / $9,759.00 / $22,073.00	Facility		$5,116.00	$9,759.00	$22,073.00