Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $6,309.57 / $16,982.44	Facility		$1,258.93	$6,309.57	$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 / $190.55 / $7,762.47	Facility		$66.07	$190.55	$7,762.47
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $151.36 / $338.84	Professional		$112.20	$151.36	$338.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $239.88 / $457.09	Professional		$104.71	$239.88	$457.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $28,840.32 / $28,840.32	Facility		$6,456.54	$28,840.32	$28,840.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $218.78 / $380.19	Facility		$109.65	$218.78	$380.19
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