Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.29 / $5,382.00 / $16,713.00	Facility		$371.29	$5,382.00	$16,713.00
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 $122.86 / $364.33 / $608.75	Professional		$122.86	$364.33	$608.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $277.10 / $443.95 / $785.65	Professional		$277.10	$443.95	$785.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,866.60 / $2,000.00 / $16,394.00	Facility		$1,866.60	$2,000.00	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $235.95 / $361.65 / $608.75	Facility		$235.95	$361.65	$608.75
United Facility/Professional Facility Modifier Low / Median / High Price $570.00 / $1,533.00 / $5,830.00	Facility		$570.00	$1,533.00	$5,830.00