Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,456.54 / $16,982.44	Facility		$2,290.87	$6,456.54	$16,982.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,489.63	Facility		$3,630.78	$6,165.95	$13,489.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,019.95 / $7,762.47	Facility		$66.07	$3,019.95	$7,762.47
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $316.23 / $676.08	Professional		$112.20	$316.23	$676.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $478.63 / $891.25	Professional		$251.19	$478.63	$891.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $28,840.32 / $28,840.32	Facility		$6,760.83	$28,840.32	$28,840.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $380.19 / $645.65	Facility		$229.09	$380.19	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $7,585.78 / $15,135.61	Facility		$4,265.80	$7,585.78	$15,135.61