Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $9,674.00 / $20,509.00	Facility		$873.00	$9,674.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $6,986.00 / $13,707.00	Facility		$2,629.00	$6,986.00	$13,707.00
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 $167.91 / $246.34 / $295.61	Professional		$167.91	$246.34	$295.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $222.50 / $286.27 / $552.00	Professional		$222.50	$286.27	$552.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $537.82 / $1,116.77	Facility		$55.00	$537.82	$1,116.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $229.66 / $289.25 / $395.22	Facility		$229.66	$289.25	$395.22
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