Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.32 / $4,848.00 / $16,125.00	Facility		$142.32	$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 $134.40 / $171.16 / $210.06	Professional		$134.40	$171.16	$210.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $136.94 / $183.08 / $324.57	Professional		$136.94	$183.08	$324.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $655.48 / $695.69 / $12,000.00	Facility		$655.48	$695.69	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.72 / $177.59 / $236.78	Facility		$131.72	$177.59	$236.78
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