Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.36 / $9,639.00 / $20,509.00	Facility		$501.36	$9,639.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,204.00 / $9,248.00 / $18,049.00	Facility		$4,204.00	$9,248.00	$18,049.00
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 $355.55 / $525.89 / $631.07	Professional		$355.55	$525.89	$631.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $473.30 / $604.70 / $1,258.91	Professional		$473.30	$604.70	$1,258.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $7,639.20 / $9,398.40	Facility		$55.00	$7,639.20	$9,398.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $493.69 / $622.14 / $847.12	Facility		$493.69	$622.14	$847.12
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