Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $769.52 / $9,639.00 / $20,509.00	Facility		$769.52	$9,639.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,242.00 / $8,905.00 / $17,774.00	Facility		$3,242.00	$8,905.00	$17,774.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $10,317.12	Facility		$66.00	$100.00	$10,317.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $637.75 / $773.76 / $1,005.89	Professional		$637.75	$773.76	$1,005.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $695.64 / $877.42 / $1,627.52	Professional		$695.64	$877.42	$1,627.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,824.47 / $13,856.55	Facility		$55.00	$4,824.47	$13,856.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $745.14 / $1,005.92 / $1,585.97	Facility		$745.14	$1,005.92	$1,585.97
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,784.00 / $29,571.00	Facility		$7,696.00	$13,784.00	$29,571.00