Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $563.00 / $7,192.80 / $16,303.50	Facility		$563.00	$7,192.80	$16,303.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,696.00 / $7,166.00 / $15,328.00	Facility		$2,696.00	$7,166.00	$15,328.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $8,393.26	Facility		$66.09	$100.00	$8,393.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $97.17 / $241.11 / $517.62	Professional		$97.17	$241.11	$517.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $187.29 / $358.05 / $664.93	Professional		$187.29	$358.05	$664.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,262.52 / $6,817.20 / $26,542.00	Facility		$1,262.52	$6,817.20	$26,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $180.84 / $287.97 / $502.46	Facility		$180.84	$287.97	$502.46
United Facility/Professional Facility Modifier Low / Median / High Price $3,993.00 / $7,454.00 / $15,471.00	Facility		$3,993.00	$7,454.00	$15,471.00