Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $927.00 / $9,639.00 / $20,509.00	Facility		$927.00	$9,639.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,734.00 / $12,014.00 / $25,103.02	Facility		$4,734.00	$12,014.00	$25,103.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $5,485.17	Facility		$63.50	$100.00	$5,485.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $590.47 / $1,087.23 / $1,304.68	Professional		$590.47	$1,087.23	$1,304.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $978.51 / $1,280.89 / $2,281.00	Professional		$978.51	$1,280.89	$2,281.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $12,196.60 / $15,116.14	Facility		$55.00	$12,196.60	$15,116.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,024.69 / $1,294.10 / $1,698.78	Facility		$1,024.69	$1,294.10	$1,698.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,732.00 / $5,067.00 / $20,279.00	Facility		$1,732.00	$5,067.00	$20,279.00