Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.90 / $9,639.00 / $20,509.00	Facility		$169.90	$9,639.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,540.00 / $12,800.00 / $24,456.00	Facility		$5,540.00	$12,800.00	$24,456.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $15,962.24	Facility		$63.50	$100.00	$15,962.24
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $145.94 / $170.03 / $218.91	Professional		$145.94	$170.03	$218.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $153.04 / $197.51 / $377.00	Professional		$153.04	$197.51	$377.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,651.32 / $2,059.42	Facility		$55.00	$1,651.32	$2,059.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $158.27 / $199.28 / $274.10	Facility		$158.27	$199.28	$274.10
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