Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.55 / $6,342.00 / $17,030.00	Facility		$188.55	$6,342.00	$17,030.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,539.00 / $9,381.00	Facility		$1,787.00	$4,539.00	$9,381.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.80 / $100.00 / $7,919.07	Facility		$65.80	$100.00	$7,919.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $50.63 / $139.41 / $267.19	Professional		$50.63	$139.41	$267.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $110.09 / $188.46 / $345.12	Professional		$110.09	$188.46	$345.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $501.09 / $2,955.45 / $26,542.00	Facility		$501.09	$2,955.45	$26,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.10 / $172.92 / $298.30	Facility		$107.10	$172.92	$298.30
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,533.00 / $5,691.00	Facility		$587.00	$1,533.00	$5,691.00