Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $10,471.29 / $22,908.68	Facility		$3,715.35	$10,471.29	$22,908.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $4,365.16 / $12,022.64	Facility		$1,621.81	$4,365.16	$12,022.64
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $100.00 / $6,025.60	Facility		$63.10	$100.00	$6,025.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $83.18 / $112.20	Professional		$74.13	$83.18	$112.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $87.10 / $151.36	Professional		$66.07	$87.10	$151.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,288.25	Facility		$54.95	$56.23	$1,288.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $91.20 / $147.91	Facility		$69.18	$91.20	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,365.16 / $10,000.00	Facility		$2,344.23	$4,365.16	$10,000.00