Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,645.00 / $10,061.00 / $22,788.00	Facility		$2,645.00	$10,061.00	$22,788.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $10,905.00 / $21,514.00	Facility		$2,456.00	$10,905.00	$21,514.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $15,350.75	Facility		$66.00	$100.00	$15,350.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,116.90 / $1,485.52 / $2,936.36	Professional		$1,116.90	$1,485.52	$2,936.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,166.75 / $1,511.83 / $2,981.66	Professional		$1,166.75	$1,511.83	$2,981.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,907.90 / $11,879.05 / $26,542.00	Facility		$7,907.90	$11,879.05	$26,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,285.19 / $1,595.81 / $2,567.00	Facility		$1,285.19	$1,595.81	$2,567.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $467.80 / $467.80 / $467.80	Facility	80	$467.80	$467.80	$467.80
United Facility/Professional Facility Modifier Low / Median / High Price $5,307.00 / $12,313.00 / $26,451.00	Facility		$5,307.00	$12,313.00	$26,451.00