Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $317.38 / $4,932.00 / $16,713.00	Facility		$317.38	$4,932.00	$16,713.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,505.00 / $9,119.00	Facility		$1,723.00	$4,505.00	$9,119.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $1,652.09	Facility		$66.00	$100.00	$1,652.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $63.87 / $71.11 / $109.64	Professional		$63.87	$71.11	$109.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.56 / $90.27 / $157.97	Professional		$58.56	$90.27	$157.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $471.24 / $484.26	Facility		$55.00	$471.24	$484.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.92 / $92.61 / $135.58	Facility		$67.92	$92.61	$135.58
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