Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,776.67 / $9,639.00 / $20,509.00	Facility		$1,776.67	$9,639.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,738.00 / $11,770.00 / $22,895.00	Facility		$3,738.00	$11,770.00	$22,895.00
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 $1,489.20 / $1,708.71 / $2,233.80	Professional		$1,489.20	$1,708.71	$2,233.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,537.84 / $1,982.99 / $3,683.17	Professional		$1,537.84	$1,982.99	$3,683.17
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $500.00 / $500.00 / $500.00	Professional	80	$500.00	$500.00	$500.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $25,147.52 / $31,032.64	Facility		$55.00	$25,147.52	$31,032.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,671.24 / $2,235.66 / $2,765.67	Facility		$1,671.24	$2,235.66	$2,765.67
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