Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $5,382.00 / $17,054.00	Facility		$1,017.00	$5,382.00	$17,054.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,718.00 / $9,381.00	Facility		$1,759.00	$4,718.00	$9,381.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $1,779.64 / $4,675.78	Facility		$95.50	$1,779.64	$4,675.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $73.66 / $99.44	Professional		$61.80	$73.66	$99.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.42 / $85.61 / $152.24	Professional		$66.42	$85.61	$152.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $160.08 / $4,493.00	Facility		$55.00	$160.08	$4,493.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.25 / $83.80 / $117.86	Facility		$67.25	$83.80	$117.86
United Facility/Professional Facility Modifier Low / Median / High Price $2,150.00 / $4,218.00 / $10,979.00	Facility		$2,150.00	$4,218.00	$10,979.00