Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $365.73 / $5,382.00 / $17,013.00	Facility		$365.73	$5,382.00	$17,013.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $4,465.00 / $9,381.00	Facility		$1,615.00	$4,465.00	$9,381.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.80 / $100.00 / $5,485.17	Facility		$65.80	$100.00	$5,485.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $66.69 / $86.70 / $110.87	Professional		$66.69	$86.70	$110.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.19 / $88.69 / $155.19	Professional		$61.19	$88.69	$155.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $280.05 / $298.49	Facility		$55.00	$280.05	$298.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.83 / $97.19 / $147.72	Facility		$67.83	$97.19	$147.72
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,528.00 / $7,504.00	Facility		$548.00	$1,528.00	$7,504.00