Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.08 / $5,382.00 / $16,713.00	Facility		$151.08	$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 $65.80 / $100.00 / $6,929.19	Facility		$65.80	$100.00	$6,929.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $76.69 / $99.17 / $202.16	Professional		$76.69	$99.17	$202.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.61 / $141.72 / $258.64	Professional		$75.61	$141.72	$258.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $345.15 / $2,000.00 / $16,394.00	Facility		$345.15	$2,000.00	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.93 / $123.63 / $210.00	Facility		$72.93	$123.63	$210.00
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