Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $451.29 / $5,505.00 / $16,573.00	Facility		$451.29	$5,505.00	$16,573.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,931.00 / $11,456.00	Facility		$2,143.00	$5,931.00	$11,456.00
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 $367.65 / $496.33 / $703.91	Professional		$367.65	$496.33	$703.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $330.12 / $517.69 / $918.16	Professional		$330.12	$517.69	$918.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,232.00 / $5,564.75 / $16,394.00	Facility		$2,232.00	$5,564.75	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $310.14 / $444.96 / $703.91	Facility		$310.14	$444.96	$703.91
United Facility/Professional Facility Modifier Low / Median / High Price $2,348.00 / $4,243.00 / $9,131.00	Facility		$2,348.00	$4,243.00	$9,131.00