Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.86 / $5,153.00 / $16,210.00	Facility		$173.86	$5,153.00	$16,210.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,882.00 / $4,542.00 / $9,244.00	Facility		$1,882.00	$4,542.00	$9,244.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,848.26	Facility		$66.00	$100.00	$6,848.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $81.53 / $168.50 / $285.43	Professional		$81.53	$168.50	$285.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $133.05 / $210.39 / $373.56	Professional		$133.05	$210.39	$373.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $900.36 / $2,000.00 / $16,394.00	Facility		$900.36	$2,000.00	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $132.30 / $187.50 / $287.86	Facility		$132.30	$187.50	$287.86
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,551.00 / $5,830.00	Facility		$587.00	$1,551.00	$5,830.00