Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $674.27 / $9,639.00 / $20,509.00	Facility		$674.27	$9,639.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,437.00 / $10,754.00 / $23,385.47	Facility		$4,437.00	$10,754.00	$23,385.47
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 $606.48 / $776.80 / $932.16	Professional		$606.48	$776.80	$932.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $699.12 / $894.70 / $1,616.49	Professional		$699.12	$894.70	$1,616.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,586.96 / $5,694.22	Facility		$55.00	$4,586.96	$5,694.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $709.30 / $906.50 / $1,374.24	Facility		$709.30	$906.50	$1,374.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,395.00 / $18,709.00	Facility		$1,919.00	$6,395.00	$18,709.00