Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $355.14 / $6,268.00 / $17,030.00	Facility		$355.14	$6,268.00	$17,030.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,675.00 / $7,007.00 / $13,707.00	Facility		$2,675.00	$7,007.00	$13,707.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,864.42	Facility		$66.00	$100.00	$7,864.42
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $186.15 / $347.30 / $562.90	Professional		$186.15	$347.30	$562.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $255.31 / $409.81 / $717.17	Professional		$255.31	$409.81	$717.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,701.96 / $5,564.75 / $26,542.00	Facility		$1,701.96	$5,564.75	$26,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $250.26 / $362.40 / $568.66	Facility		$250.26	$362.40	$568.66
United Facility/Professional Facility Modifier Low / Median / High Price $3,610.00 / $7,402.00 / $15,471.00	Facility		$3,610.00	$7,402.00	$15,471.00