Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,256.22 / $11,008.00 / $23,756.00	Facility		$1,256.22	$11,008.00	$23,756.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,576.00 / $11,400.00	Facility		$1,723.00	$4,576.00	$11,400.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.80 / $100.00 / $20,659.23	Facility		$65.80	$100.00	$20,659.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $58.08 / $87.89 / $116.24	Professional		$58.08	$87.89	$116.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.91 / $116.05 / $206.56	Professional		$88.91	$116.05	$206.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $227.18 / $15,816.20 / $26,542.00	Facility		$227.18	$15,816.20	$26,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $90.39 / $114.19 / $163.30	Facility		$90.39	$114.19	$163.30
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,797.00 / $32,191.00	Facility		$7,696.00	$13,797.00	$32,191.00