Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,843.00 / $9,731.00 / $20,135.00	Facility		$2,843.00	$9,731.00	$20,135.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,662.00 / $13,255.00 / $35,774.62	Facility		$4,662.00	$13,255.00	$35,774.62
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $5,485.17	Facility		$63.50	$100.00	$5,485.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,538.34 / $1,747.59 / $2,271.87	Professional		$1,538.34	$1,747.59	$2,271.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,572.83 / $2,048.82 / $3,756.11	Professional		$1,572.83	$2,048.82	$3,756.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $17,951.34 / $22,711.70	Facility		$55.00	$17,951.34	$22,711.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,657.45 / $2,097.11 / $2,813.39	Facility		$1,657.45	$2,097.11	$2,813.39
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,319.00 / $20,279.00	Facility		$2,047.00	$5,319.00	$20,279.00