Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,020.00 / $6,229.00 / $16,713.00	Facility		$2,020.00	$6,229.00	$16,713.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $5,944.00 / $13,697.00	Facility		$2,160.00	$5,944.00	$13,697.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,300.60	Facility		$66.00	$100.00	$7,300.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $421.82 / $1,077.69 / $1,293.23	Professional		$421.82	$1,077.69	$1,293.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $860.75 / $1,187.33 / $2,199.69	Professional		$860.75	$1,187.33	$2,199.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,475.20 / $11,500.00 / $16,394.00	Facility		$3,475.20	$11,500.00	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $837.14 / $1,151.02 / $1,530.22	Facility		$837.14	$1,151.02	$1,530.22
United Facility/Professional Facility Modifier Low / Median / High Price $5,331.00 / $9,810.00 / $21,278.00	Facility		$5,331.00	$9,810.00	$21,278.00