Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $9,639.00 / $19,011.00	Facility		$873.00	$9,639.00	$19,011.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $694.45 / $3,491.00 / $7,484.00	Facility		$694.45	$3,491.00	$7,484.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $100.00 / $5,321.49	Facility		$64.00	$100.00	$5,321.49
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $453.83 / $797.66 / $957.19	Professional		$453.83	$797.66	$957.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $679.95 / $927.73 / $1,680.71	Professional		$679.95	$927.73	$1,680.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,563.00 / $4,405.14	Facility		$55.00	$3,563.00	$4,405.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $682.63 / $899.36 / $1,185.35	Facility		$682.63	$899.36	$1,185.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,991.00 / $6,108.00 / $17,075.00	Facility		$1,991.00	$6,108.00	$17,075.00