Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $4,848.00 / $16,125.00	Facility		$464.00	$4,848.00	$16,125.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $4,604.00 / $9,589.00	Facility		$2,143.00	$4,604.00	$9,589.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $27,955.87	Facility		$77.09	$100.00	$27,955.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $45.58 / $417.70 / $512.64	Professional		$45.58	$417.70	$512.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.72 / $282.64 / $561.30	Professional		$41.72	$282.64	$561.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $190.76 / $474.61	Facility		$55.00	$190.76	$474.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.65 / $217.88 / $482.15	Facility		$40.65	$217.88	$482.15
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,572.00 / $5,830.00	Facility		$587.00	$1,572.00	$5,830.00