Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.87 / $9,697.00 / $22,330.11	Facility		$158.87	$9,697.00	$22,330.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,456.35 / $13,747.00	Facility		$2,143.00	$5,456.35	$13,747.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $100.00 / $5,485.17	Facility		$64.00	$100.00	$5,485.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $141.47 / $172.66 / $212.21	Professional		$141.47	$172.66	$212.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $157.63 / $203.08 / $426.16	Professional		$157.63	$203.08	$426.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $381.17 / $793.82	Facility		$55.00	$381.17	$793.82
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $33.06 / $77.05 / $79.38	Facility	AS	$33.06	$77.05	$79.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.11 / $204.13 / $277.30	Facility		$162.11	$204.13	$277.30
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