Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.00 / $5,812.00 / $17,133.00	Facility		$1,174.00	$5,812.00	$17,133.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,008.00 / $6,008.00 / $6,008.00	Facility	50	$6,008.00	$6,008.00	$6,008.00
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 $66.00 / $100.00 / $5,170.71	Facility		$66.00	$100.00	$5,170.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $131.41 / $162.35 / $198.88	Professional		$131.41	$162.35	$198.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $148.12 / $189.90 / $345.64	Professional		$148.12	$189.90	$345.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $351.16 / $3,187.85	Facility		$55.00	$351.16	$3,187.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $153.09 / $194.82 / $284.51	Facility		$153.09	$194.82	$284.51
United Facility/Professional Facility Modifier Low / Median / High Price $1,407.00 / $2,753.00 / $7,940.00	Facility		$1,407.00	$2,753.00	$7,940.00