Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,631.00 / $17,393.00	Facility		$1,820.00	$6,631.00	$17,393.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,931.00 / $11,456.00	Facility		$2,143.00	$5,931.00	$11,456.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,864.42	Facility		$66.00	$100.00	$7,864.42
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $379.37 / $800.37 / $960.44	Professional		$379.37	$800.37	$960.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $644.48 / $895.11 / $1,625.73	Professional		$644.48	$895.11	$1,625.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,958.44 / $11,500.00 / $26,542.00	Facility		$3,958.44	$11,500.00	$26,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $624.63 / $858.40 / $1,104.84	Facility		$624.63	$858.40	$1,104.84
United Facility/Professional Facility Modifier Low / Median / High Price $3,842.00 / $7,454.00 / $15,471.00	Facility		$3,842.00	$7,454.00	$15,471.00