Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $5,390.00 / $17,328.00	Facility		$1,017.00	$5,390.00	$17,328.00
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 / $5,238.60	Facility		$65.80	$100.00	$5,238.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $79.44 / $96.48	Professional		$52.49	$79.44	$96.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.73 / $93.67 / $166.65	Professional		$72.73	$93.67	$166.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $175.32 / $882.00 / $12,000.00	Facility		$175.32	$882.00	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.38 / $97.27 / $137.63	Facility		$74.38	$97.27	$137.63
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,533.00 / $6,920.00	Facility		$548.00	$1,533.00	$6,920.00