Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,802.46 / $10,004.00 / $21,960.90	Facility		$2,802.46	$10,004.00	$21,960.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,734.00 / $11,827.46 / $23,587.93	Facility		$4,734.00	$11,827.46	$23,587.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $8,389.08	Facility		$63.50	$100.00	$8,389.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,180.56 / $1,786.54 / $2,186.92	Professional		$1,180.56	$1,786.54	$2,186.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,640.20 / $2,101.69 / $3,808.18	Professional		$1,640.20	$2,101.69	$3,808.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $10,810.03 / $13,552.56	Facility		$5,897.00	$10,810.03	$13,552.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,697.03 / $2,178.46 / $3,154.87	Facility		$1,697.03	$2,178.46	$3,154.87
United Facility/Professional Facility Modifier Low / Median / High Price $3,610.00 / $7,402.00 / $16,148.00	Facility		$3,610.00	$7,402.00	$16,148.00