Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,259.69 / $10,494.00 / $22,788.00	Facility		$1,259.69	$10,494.00	$22,788.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,329.05 / $5,913.00 / $12,527.00	Facility		$2,329.05	$5,913.00	$12,527.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $1,693.95	Facility		$63.50	$100.00	$1,693.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $193.22 / $220.60 / $286.77	Professional		$193.22	$220.60	$286.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $198.54 / $254.03 / $480.91	Professional		$198.54	$254.03	$480.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,321.74 / $1,680.42	Facility		$55.00	$1,321.74	$1,680.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $204.30 / $257.20 / $356.10	Facility		$204.30	$257.20	$356.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,319.00 / $20,279.00	Facility		$2,047.00	$5,319.00	$20,279.00