Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.90 / $9,639.00 / $20,509.00	Facility		$204.90	$9,639.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,029.57 / $5,619.00 / $13,707.00	Facility		$1,029.57	$5,619.00	$13,707.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $98.70 / $13,719.51	Facility		$63.50	$98.70	$13,719.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $194.71 / $195.34 / $263.70	Professional		$194.71	$195.34	$263.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $175.81 / $229.84 / $421.37	Professional		$175.81	$229.84	$421.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $474.41 / $1,300.00	Facility		$55.00	$474.41	$1,300.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $193.00 / $272.52 / $444.46	Facility		$193.00	$272.52	$444.46
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