Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.89 / $9,639.00 / $20,509.00	Facility		$79.89	$9,639.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,048.15 / $6,892.00 / $17,783.00	Facility		$1,048.15	$6,892.00	$17,783.00
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 $77.06 / $190.62 / $240.38	Professional		$77.06	$190.62	$240.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.36 / $90.48 / $167.72	Professional		$69.36	$90.48	$167.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $846.62 / $1,974.00	Facility		$55.00	$846.62	$1,974.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.34 / $97.90 / $185.45	Facility		$77.34	$97.90	$185.45
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