Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,538.28 / $9,639.00 / $21,258.00	Facility		$2,538.28	$9,639.00	$21,258.00
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 / $1,631.88 / $2,112.75	Professional		$1,116.90	$1,631.88	$2,112.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,167.35 / $1,513.63 / $2,926.62	Professional		$1,167.35	$1,513.63	$2,926.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,926.03 / $11,879.05 / $26,542.00	Facility		$7,926.03	$11,879.05	$26,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,308.43 / $1,616.62 / $2,538.19	Facility		$1,308.43	$1,616.62	$2,538.19
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $469.34 / $469.34 / $469.34	Facility	80	$469.34	$469.34	$469.34
United Facility/Professional Facility Modifier Low / Median / High Price $6,394.14 / $11,302.00 / $24,268.00	Facility		$6,394.14	$11,302.00	$24,268.00