Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,645.00 / $9,690.00 / $21,960.90	Facility		$2,645.00	$9,690.00	$21,960.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,343.00 / $12,001.00 / $24,099.57	Facility		$5,343.00	$12,001.00	$24,099.57
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 $1,037.21 / $1,500.56 / $1,800.67	Professional		$1,037.21	$1,500.56	$1,800.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,350.50 / $1,726.90 / $3,072.67	Professional		$1,350.50	$1,726.90	$3,072.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $11,269.71 / $14,191.65	Facility		$55.00	$11,269.71	$14,191.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,370.03 / $1,732.56 / $2,374.35	Facility		$1,370.03	$1,732.56	$2,374.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,890.00 / $5,067.00 / $20,279.00	Facility		$1,890.00	$5,067.00	$20,279.00