Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.80 / $9,674.00 / $22,330.11	Facility		$540.80	$9,674.00	$22,330.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,399.48 / $5,915.51 / $12,527.00	Facility		$2,399.48	$5,915.51	$12,527.00
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 $312.73 / $316.23 / $411.10	Professional		$312.73	$316.23	$411.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $293.32 / $383.90 / $680.27	Professional		$293.32	$383.90	$680.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,946.70 / $3,547.90	Facility		$55.00	$2,946.70	$3,547.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $307.86 / $399.97 / $616.75	Facility		$307.86	$399.97	$616.75
United Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $5,159.00 / $20,279.00	Facility		$2,009.00	$5,159.00	$20,279.00