Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.26 / $10,051.00 / $20,509.00	Facility		$1,479.26	$10,051.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,738.00 / $11,697.00 / $22,145.00	Facility		$3,738.00	$11,697.00	$22,145.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $7,340.45	Facility		$63.50	$100.00	$7,340.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,489.20 / $1,878.00 / $2,540.76	Professional		$1,489.20	$1,878.00	$2,540.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,758.99 / $2,245.87 / $4,131.51	Professional		$1,758.99	$2,245.87	$4,131.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $36,645.62 / $45,466.89	Facility		$55.00	$36,645.62	$45,466.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,767.23 / $2,245.87 / $3,210.00	Facility		$1,767.23	$2,245.87	$3,210.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,159.00 / $20,279.00	Facility		$2,047.00	$5,159.00	$20,279.00