Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $754.34 / $6,695.00 / $17,370.00	Facility		$754.34	$6,695.00	$17,370.00
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 $427.08 / $776.92 / $1,117.49	Professional		$427.08	$776.92	$1,117.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $585.10 / $838.12 / $1,454.27	Professional		$585.10	$838.12	$1,454.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,973.56 / $6,817.20 / $26,542.00	Facility		$3,973.56	$6,817.20	$26,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $559.27 / $771.08 / $1,117.49	Facility		$559.27	$771.08	$1,117.49
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