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 / $23,988.33	Facility		$3,715.35	$10,471.29	$23,988.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $7,943.28 / $15,848.93	Facility		$4,570.88	$7,943.28	$15,848.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $1,862.09	Facility		$60.26	$100.00	$1,862.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $223.87 / $281.84	Professional		$162.18	$223.87	$281.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $245.47 / $501.19	Professional		$190.55	$245.47	$501.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,412.54	Facility		$54.95	$56.23	$1,412.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $281.84 / $398.11	Facility		$218.78	$281.84	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $6,165.95 / $18,620.87	Facility		$2,041.74	$6,165.95	$18,620.87