Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $473.87 / $6,640.00 / $17,538.00	Facility		$473.87	$6,640.00	$17,538.00
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 / $9,677.87	Facility		$66.00	$100.00	$9,677.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $253.16 / $458.36 / $756.80	Professional		$253.16	$458.36	$756.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $339.00 / $503.16 / $863.05	Professional		$339.00	$503.16	$863.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,268.48 / $5,564.75 / $26,542.00	Facility		$2,268.48	$5,564.75	$26,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $317.43 / $463.89 / $695.72	Facility		$317.43	$463.89	$695.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,348.00 / $4,243.00 / $9,131.00	Facility		$2,348.00	$4,243.00	$9,131.00