Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $814.05 / $5,382.00 / $16,713.00	Facility		$814.05	$5,382.00	$16,713.00
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 $666.42 / $962.93 / $1,155.52	Professional		$666.42	$962.93	$1,155.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $698.20 / $962.93 / $1,656.32	Professional		$698.20	$962.93	$1,656.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,331.88 / $3,537.80 / $16,394.00	Facility		$3,331.88	$3,537.80	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $675.90 / $946.78 / $1,292.29	Facility		$675.90	$946.78	$1,292.29
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