Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.66 / $5,382.00 / $16,713.00	Facility		$398.66	$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 $135.52 / $388.45 / $673.02	Professional		$135.52	$388.45	$673.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $295.14 / $479.68 / $866.41	Professional		$295.14	$479.68	$866.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,346.92 / $6,817.20 / $16,394.00	Facility		$1,346.92	$6,817.20	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $284.79 / $422.23 / $678.27	Facility		$284.79	$422.23	$678.27
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