Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.33 / $9,639.00 / $20,509.00	Facility		$147.33	$9,639.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,612.00 / $11,697.00 / $22,145.00	Facility		$3,612.00	$11,697.00	$22,145.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $27,955.87	Facility		$77.09	$100.00	$27,955.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $127.33 / $155.27 / $191.00	Professional		$127.33	$155.27	$191.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.30 / $187.73 / $338.49	Professional		$144.30	$187.73	$338.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $342.51 / $713.36	Facility		$55.00	$342.51	$713.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $146.02 / $181.33 / $248.43	Facility		$146.02	$181.33	$248.43
United Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $5,159.00 / $20,279.00	Facility		$2,009.00	$5,159.00	$20,279.00