Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.19 / $9,639.00 / $21,960.90	Facility		$724.19	$9,639.00	$21,960.90
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 $163.44 / $240.56 / $288.67	Professional		$163.44	$240.56	$288.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $217.17 / $279.52 / $571.67	Professional		$217.17	$279.52	$571.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $524.45 / $1,090.17	Facility		$55.00	$524.45	$1,090.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $224.19 / $282.32 / $385.95	Facility		$224.19	$282.32	$385.95
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