Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $6,025.60 / $16,595.87	Facility		$1,778.28	$6,025.60	$16,595.87
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,995.26 / $2,691.53 / $16,595.87	Facility	50	$1,995.26	$2,691.53	$16,595.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $12,022.64	Facility		$2,570.40	$4,466.84	$12,022.64
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,630.27 / $6,165.95	Facility		$66.07	$2,630.27	$6,165.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $616.60 / $741.31	Professional		$165.96	$616.60	$741.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $660.69 / $1,096.48	Professional		$489.78	$660.69	$1,096.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $19,498.45 / $19,498.45	Facility		$6,760.83	$19,498.45	$19,498.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $512.86 / $812.83	Facility		$251.19	$512.86	$812.83
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