Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $362.61 / $5,382.00 / $16,713.00	Facility		$362.61	$5,382.00	$16,713.00
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 $65.90 / $100.00 / $7,010.49	Facility		$65.90	$100.00	$7,010.49
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $113.18 / $345.06 / $632.16	Professional		$113.18	$345.06	$632.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $259.92 / $447.71 / $801.13	Professional		$259.92	$447.71	$801.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,172.35 / $6,817.20 / $16,394.00	Facility		$1,172.35	$6,817.20	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $241.62 / $380.70 / $629.85	Facility		$241.62	$380.70	$629.85
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