Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,807.26 / $3,807.26 / $10,612.80	Facility		$3,807.26	$3,807.26	$10,612.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $6,048.00 / $13,012.00	Facility		$2,143.00	$6,048.00	$13,012.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $5,294.75 / $12,734.55 / $24,877.28	Facility		$5,294.75	$12,734.55	$24,877.28
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $494.79 / $810.04 / $2,484.87	Professional		$494.79	$810.04	$2,484.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $662.76 / $1,551.86 / $2,836.59	Professional		$662.76	$1,551.86	$2,836.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,470.60 / $4,560.00 / $26,542.00	Facility		$4,470.60	$4,560.00	$26,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $769.39 / $1,560.96 / $3,736.88	Facility		$769.39	$1,560.96	$3,736.88
United Facility/Professional Facility Modifier Low / Median / High Price $4,287.78 / $7,726.55 / $7,726.55	Facility		$4,287.78	$7,726.55	$7,726.55