Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,787.92 / $10,051.00 / $20,509.00	Facility		$1,787.92	$10,051.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,734.00 / $12,567.00 / $28,484.71	Facility		$4,734.00	$12,567.00	$28,484.71
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $7,340.45	Facility		$63.50	$100.00	$7,340.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,369.69 / $2,049.44 / $2,459.34	Professional		$1,369.69	$2,049.44	$2,459.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,851.89 / $2,415.71 / $4,290.53	Professional		$1,851.89	$2,415.71	$4,290.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $21,915.00 / $26,508.96	Facility		$55.00	$21,915.00	$26,508.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,932.57 / $2,404.31 / $3,337.19	Facility		$1,932.57	$2,404.31	$3,337.19
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,067.00 / $20,279.00	Facility		$2,047.00	$5,067.00	$20,279.00