Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.82 / $5,505.00 / $16,713.00	Facility		$261.82	$5,505.00	$16,713.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,894.00 / $4,734.00 / $9,589.00	Facility		$1,894.00	$4,734.00	$9,589.00
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 $141.03 / $215.56 / $390.66	Professional		$141.03	$215.56	$390.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $126.77 / $268.89 / $494.45	Professional		$126.77	$268.89	$494.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $579.52 / $620.97 / $16,394.00	Facility		$579.52	$620.97	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $122.33 / $222.26 / $394.60	Facility		$122.33	$222.26	$394.60
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