Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $10,715.19 / $23,442.29	Facility		$5,011.87	$10,715.19	$23,442.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $10,000.00 / $17,782.79	Facility		$4,897.79	$10,000.00	$17,782.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $85.11 / $100.00	Facility		$52.48	$85.11	$100.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $173.78 / $218.78	Professional		$114.82	$173.78	$218.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $131.83 / $257.04	Professional		$100.00	$131.83	$257.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,288.25	Facility		$54.95	$56.23	$1,288.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $251.19 / $575.44	Facility		$131.83	$251.19	$575.44
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