Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $840.04 / $6,218.00 / $17,030.00	Facility		$840.04	$6,218.00	$17,030.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $5,944.00 / $13,697.00	Facility		$2,160.00	$5,944.00	$13,697.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,981.41	Facility		$66.00	$100.00	$5,981.41
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $857.39 / $1,068.07 / $1,281.68	Professional		$857.39	$1,068.07	$1,281.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $733.60 / $1,018.05 / $1,868.00	Professional		$733.60	$1,018.05	$1,868.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,459.36 / $6,817.20 / $26,542.00	Facility		$3,459.36	$6,817.20	$26,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $655.50 / $932.13 / $1,316.82	Facility		$655.50	$932.13	$1,316.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,348.00 / $4,301.00 / $9,131.00	Facility		$2,348.00	$4,301.00	$9,131.00