Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,702.96 / $6,695.00 / $17,902.00	Facility		$1,702.96	$6,695.00	$17,902.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $7,309.00 / $15,328.00	Facility		$2,629.00	$7,309.00	$15,328.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $12,835.92	Facility		$66.00	$100.00	$12,835.92
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $184.66 / $279.44 / $383.06	Professional		$184.66	$279.44	$383.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $291.14 / $380.48 / $677.65	Professional		$291.14	$380.48	$677.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,389.40 / $13,486.75	Facility		$55.00	$3,389.40	$13,486.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $304.38 / $403.58 / $612.83	Facility		$304.38	$403.58	$612.83
United Facility/Professional Facility Modifier Low / Median / High Price $5,835.00 / $12,434.00 / $26,672.00	Facility		$5,835.00	$12,434.00	$26,672.00