Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,335.00 / $5,382.00 / $17,054.00	Facility		$1,335.00	$5,382.00	$17,054.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,537.00 / $8,548.20 / $20,786.00	Facility		$3,537.00	$8,548.20	$20,786.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $5,485.17	Facility		$63.50	$100.00	$5,485.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $247.21 / $284.95 / $370.45	Professional		$247.21	$284.95	$370.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $256.45 / $335.08 / $614.30	Professional		$256.45	$335.08	$614.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $650.30 / $1,326.34	Facility		$55.00	$650.30	$1,326.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $270.83 / $341.95 / $458.72	Facility		$270.83	$341.95	$458.72
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