Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $343.46 / $6,268.00 / $17,393.00	Facility		$343.46	$6,268.00	$17,393.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,696.00 / $7,166.00 / $15,328.00	Facility		$2,696.00	$7,166.00	$15,328.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,011.98	Facility		$66.00	$100.00	$8,011.98
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $168.65 / $301.42 / $515.57	Professional		$168.65	$301.42	$515.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $220.08 / $367.37 / $653.84	Professional		$220.08	$367.37	$653.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,003.20 / $11,102.00 / $26,542.00	Facility		$1,003.20	$11,102.00	$26,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $208.43 / $331.91 / $537.04	Facility		$208.43	$331.91	$537.04
United Facility/Professional Facility Modifier Low / Median / High Price $5,331.00 / $9,810.00 / $21,278.00	Facility		$5,331.00	$9,810.00	$21,278.00