Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.95 / $5,102.00 / $16,210.00	Facility		$206.95	$5,102.00	$16,210.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,863.00 / $11,400.00	Facility		$2,143.00	$5,863.00	$11,400.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,881.37	Facility		$66.00	$100.00	$6,881.37
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $118.85 / $160.44 / $290.23	Professional		$118.85	$160.44	$290.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.84 / $208.78 / $382.18	Professional		$111.84	$208.78	$382.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $783.12 / $6,405.60 / $16,394.00	Facility		$783.12	$6,405.60	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.95 / $209.19 / $349.42	Facility		$120.95	$209.19	$349.42
United Facility/Professional Facility Modifier Low / Median / High Price $526.00 / $1,493.00 / $5,691.00	Facility		$526.00	$1,493.00	$5,691.00