Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $6,695.00 / $18,252.00	Facility		$2,197.85	$6,695.00	$18,252.00
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 $253.91 / $384.24 / $568.02	Professional		$253.91	$384.24	$568.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $434.23 / $566.80 / $1,016.62	Professional		$434.23	$566.80	$1,016.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,079.47 / $13,486.75	Facility		$55.00	$5,079.47	$13,486.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $453.45 / $599.20 / $874.03	Facility		$453.45	$599.20	$874.03
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