Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,169.00 / $5,980.00 / $16,973.00	Facility		$1,169.00	$5,980.00	$16,973.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,849.00 / $11,400.00	Facility		$2,143.00	$5,849.00	$11,400.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,142.12	Facility		$66.00	$100.00	$5,142.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $210.20 / $251.67 / $302.00	Professional		$210.20	$251.67	$302.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $174.15 / $241.88 / $435.80	Professional		$174.15	$241.88	$435.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $2,000.00	Facility		$55.00	$55.00	$2,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $178.69 / $241.01 / $351.17	Facility		$178.69	$241.01	$351.17
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,533.00 / $5,830.00	Facility		$587.00	$1,533.00	$5,830.00