Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.75 / $9,639.00 / $20,509.00	Facility		$426.75	$9,639.00	$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 $161.94 / $239.00 / $286.80	Professional		$161.94	$239.00	$286.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $216.80 / $278.45 / $515.90	Professional		$216.80	$278.45	$515.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,366.32 / $2,931.61	Facility		$55.00	$2,366.32	$2,931.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $223.80 / $281.83 / $385.09	Facility		$223.80	$281.83	$385.09
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