Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $9,549.93 / $22,387.21	Facility		$3,715.35	$9,549.93	$22,387.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,471.29 / $17,782.79	Facility		$6,025.60	$10,471.29	$17,782.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,570.40 / $10,964.78	Facility		$66.07	$2,570.40	$10,964.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,659.59 / $1,995.26	Professional		$1,000.00	$1,659.59	$1,995.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,819.70 / $3,388.44	Professional		$1,348.96	$1,819.70	$3,388.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $33,884.42 / $33,884.42	Facility		$12,882.50	$33,884.42	$33,884.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,778.28 / $2,570.40	Facility		$1,348.96	$1,778.28	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $7,585.78 / $15,135.61	Facility		$4,073.80	$7,585.78	$15,135.61