Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,020.00 / $6,226.27 / $17,345.34	Facility		$2,020.00	$6,226.27	$17,345.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,931.00 / $11,456.00	Facility		$2,143.00	$5,931.00	$11,456.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,230.50	Facility		$66.00	$100.00	$7,230.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $646.69 / $711.36 / $1,131.71	Professional		$646.69	$711.36	$1,131.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $514.12 / $705.35 / $1,313.85	Professional		$514.12	$705.35	$1,313.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,069.96 / $11,500.00 / $16,394.00	Facility		$3,069.96	$11,500.00	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $528.53 / $706.40 / $998.07	Facility		$528.53	$706.40	$998.07
United Facility/Professional Facility Modifier Low / Median / High Price $4,092.00 / $7,454.00 / $15,471.00	Facility		$4,092.00	$7,454.00	$15,471.00