Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,494.00 / $18,252.00	Facility		$1,992.00	$7,494.00	$18,252.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.00 / $8,823.00 / $17,774.00	Facility		$3,388.00	$8,823.00	$17,774.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,730.92	Facility		$66.00	$100.00	$9,730.92
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,116.90 / $1,279.17 / $1,569.89	Professional		$1,116.90	$1,279.17	$1,569.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $930.10 / $1,276.71 / $2,338.62	Professional		$930.10	$1,276.71	$2,338.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,589.96 / $11,500.00 / $26,542.00	Facility		$5,589.96	$11,500.00	$26,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $926.98 / $1,255.54 / $1,778.98	Facility		$926.98	$1,255.54	$1,778.98
United Facility/Professional Facility Modifier Low / Median / High Price $5,670.00 / $9,908.00 / $21,278.00	Facility		$5,670.00	$9,908.00	$21,278.00