Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $5,829.00 / $16,210.00	Facility		$550.00	$5,829.00	$16,210.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $5,944.00 / $13,697.00	Facility		$2,160.00	$5,944.00	$13,697.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,010.49	Facility		$66.00	$100.00	$7,010.49
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $117.65 / $357.24 / $639.36	Professional		$117.65	$357.24	$639.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $270.57 / $454.09 / $820.65	Professional		$270.57	$454.09	$820.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,230.52 / $6,817.20 / $16,394.00	Facility		$1,230.52	$6,817.20	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $252.21 / $386.35 / $620.62	Facility		$252.21	$386.35	$620.62
United Facility/Professional Facility Modifier Low / Median / High Price $4,035.00 / $7,473.00 / $15,471.00	Facility		$4,035.00	$7,473.00	$15,471.00