Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $365.00 / $4,023.00 / $15,877.00	Facility		$365.00	$4,023.00	$15,877.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,863.00 / $11,400.00	Facility		$2,143.00	$5,863.00	$11,400.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,238.60	Facility		$66.00	$100.00	$5,238.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $115.53 / $224.53 / $508.58	Professional		$115.53	$224.53	$508.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.50 / $349.56 / $643.09	Professional		$173.50	$349.56	$643.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,170.96 / $1,199.52	Facility		$55.00	$1,170.96	$1,199.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $155.04 / $249.52 / $489.31	Facility		$155.04	$249.52	$489.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,410.00 / $2,761.00 / $7,655.00	Facility		$1,410.00	$2,761.00	$7,655.00