Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $10,471.29 / $22,908.68	Facility		$3,890.45	$10,471.29	$22,908.68
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 $63.10 / $100.00 / $8,128.31	Facility		$63.10	$100.00	$8,128.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $707.95 / $933.25	Professional		$588.84	$707.95	$933.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $758.58 / $1,412.54	Professional		$575.44	$758.58	$1,412.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $4,570.88	Facility		$54.95	$56.23	$4,570.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $870.96 / $1,380.38	Facility		$660.69	$870.96	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $17,782.79 / $38,904.51	Facility		$9,120.11	$17,782.79	$38,904.51