Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $4,023.00 / $16,008.00	Facility		$464.00	$4,023.00	$16,008.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,402.00 / $7,007.00 / $13,707.00	Facility		$2,402.00	$7,007.00	$13,707.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $48.30 / $100.00 / $10,276.26	Facility		$48.30	$100.00	$10,276.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $159.72 / $179.61 / $247.27	Professional		$159.72	$179.61	$247.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $148.53 / $215.06 / $375.54	Professional		$148.53	$215.06	$375.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $676.68 / $724.47	Facility		$55.00	$676.68	$724.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $156.78 / $215.49 / $305.20	Facility		$156.78	$215.49	$305.20
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $5,156.00 / $5,156.00 / $5,156.00	Facility		$5,156.00	$5,156.00	$5,156.00
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,551.00 / $6,920.00	Facility		$548.00	$1,551.00	$6,920.00