Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $8,967.00 / $20,509.00	Facility		$2,616.00	$8,967.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,314.00 / $10,117.00 / $20,418.00	Facility		$4,314.00	$10,117.00	$20,418.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $5,455.40	Facility		$63.50	$100.00	$5,455.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $608.04 / $634.59 / $824.97	Professional		$608.04	$634.59	$824.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.94 / $729.15 / $1,283.30	Professional		$562.94	$729.15	$1,283.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,613.12 / $4,777.50	Facility		$55.00	$3,613.12	$4,777.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $557.53 / $707.70 / $1,086.65	Facility		$557.53	$707.70	$1,086.65
United Facility/Professional Facility Modifier Low / Median / High Price $4,110.00 / $9,707.00 / $21,278.00	Facility		$4,110.00	$9,707.00	$21,278.00