Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,645.00 / $9,697.00 / $23,163.29	Facility		$2,645.00	$9,697.00	$23,163.29
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 / $1,636.65 / $2,112.75	Professional		$1,116.90	$1,636.65	$2,112.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,171.01 / $1,557.49 / $2,935.61	Professional		$1,171.01	$1,557.49	$2,935.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,951.51 / $14,907.95 / $26,542.00	Facility		$7,951.51	$14,907.95	$26,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,317.90 / $1,623.63 / $2,582.25	Facility		$1,317.90	$1,623.63	$2,582.25
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