Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $9,006.00 / $20,135.00	Facility		$2,616.00	$9,006.00	$20,135.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,585.00 / $11,770.00 / $22,895.00	Facility		$3,585.00	$11,770.00	$22,895.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,769.32	Facility		$66.00	$100.00	$5,769.32
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $881.66 / $992.73 / $1,290.55	Professional		$881.66	$992.73	$1,290.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $893.46 / $1,142.32 / $2,031.81	Professional		$893.46	$1,142.32	$2,031.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,792.22 / $10,899.50	Facility		$55.00	$5,792.22	$10,899.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $906.16 / $1,166.50 / $1,732.50	Facility		$906.16	$1,166.50	$1,732.50
United Facility/Professional Facility Modifier Low / Median / High Price $4,110.00 / $9,713.00 / $21,278.00	Facility		$4,110.00	$9,713.00	$21,278.00