Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,843.00 / $10,321.00 / $22,330.11	Facility		$2,843.00	$10,321.00	$22,330.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,642.72 / $11,020.80 / $23,195.73	Facility		$4,642.72	$11,020.80	$23,195.73
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 $1,542.44 / $1,770.59 / $2,301.77	Professional		$1,542.44	$1,770.59	$2,301.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,593.53 / $2,075.84 / $3,805.81	Professional		$1,593.53	$2,075.84	$3,805.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $11,575.83 / $14,229.60	Facility		$55.00	$11,575.83	$14,229.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,679.38 / $2,124.71 / $2,850.42	Facility		$1,679.38	$2,124.71	$2,850.42
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