Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $9,006.00 / $20,135.00	Facility		$2,421.00	$9,006.00	$20,135.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $7,166.00 / $15,328.00	Facility		$2,629.00	$7,166.00	$15,328.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $10,317.12	Facility		$66.00	$100.00	$10,317.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $953.17 / $1,042.44 / $1,314.60	Professional		$953.17	$1,042.44	$1,314.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $857.85 / $1,080.66 / $2,012.84	Professional		$857.85	$1,080.66	$2,012.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $9,333.06 / $13,856.55	Facility		$55.00	$9,333.06	$13,856.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $911.54 / $1,229.38 / $1,988.05	Facility		$911.54	$1,229.38	$1,988.05
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,784.00 / $29,571.00	Facility		$7,696.00	$13,784.00	$29,571.00