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 $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 / $588.84 / $7,762.47	Facility		$66.07	$588.84	$7,762.47
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $213.80 / $407.38	Professional		$128.82	$213.80	$407.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $269.15 / $537.03	Professional		$114.82	$269.15	$537.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $28,840.32 / $28,840.32	Facility		$5,623.41	$28,840.32	$28,840.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $223.87 / $426.58	Facility		$112.20	$223.87	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,365.16 / $9,772.37	Facility		$2,344.23	$4,365.16	$9,772.37