Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.00 / $4,848.00 / $16,713.00	Facility		$344.00	$4,848.00	$16,713.00
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 $155.25 / $173.94 / $241.60	Professional		$155.25	$173.94	$241.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $143.87 / $210.38 / $349.07	Professional		$143.87	$210.38	$349.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $655.48 / $701.67	Facility		$55.00	$655.48	$701.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $152.16 / $208.62 / $297.92	Facility		$152.16	$208.62	$297.92
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $2,836.00 / $2,836.00 / $2,836.00	Facility		$2,836.00	$2,836.00	$2,836.00
United Facility/Professional Facility Modifier Low / Median / High Price $559.00 / $1,533.00 / $7,317.00	Facility		$559.00	$1,533.00	$7,317.00