Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $9,697.00 / $20,509.00	Facility		$873.00	$9,697.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,403.00 / $8,971.00 / $18,030.00	Facility		$3,403.00	$8,971.00	$18,030.00
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 $234.18 / $346.46 / $415.75	Professional		$234.18	$346.46	$415.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $314.79 / $400.15 / $828.04	Professional		$314.79	$400.15	$828.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $759.71 / $1,583.94	Facility		$55.00	$759.71	$1,583.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $324.72 / $409.23 / $558.24	Facility		$324.72	$409.23	$558.24
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