Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.53 / $4,848.00 / $16,125.00	Facility		$108.53	$4,848.00	$16,125.00
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 / $5,238.60	Facility		$65.80	$100.00	$5,238.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $103.87 / $124.08 / $155.81	Professional		$103.87	$124.08	$155.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.98 / $127.97 / $257.00	Professional		$95.98	$127.97	$257.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $461.73 / $483.03 / $12,000.00	Facility		$461.73	$483.03	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.19 / $129.18 / $170.67	Facility		$95.19	$129.18	$170.67
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,551.00 / $6,323.00	Facility		$587.00	$1,551.00	$6,323.00