Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.79 / $9,639.00 / $20,509.00	Facility		$199.79	$9,639.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $5,863.00 / $11,456.00	Facility		$2,137.00	$5,863.00	$11,456.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $10,117.12	Facility		$64.40	$100.00	$10,117.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $179.82 / $191.00 / $257.85	Professional		$179.82	$191.00	$257.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $171.90 / $225.46 / $414.81	Professional		$171.90	$225.46	$414.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $509.28 / $2,260.00	Facility		$55.00	$509.28	$2,260.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $192.24 / $264.62 / $409.50	Facility		$192.24	$264.62	$409.50
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,523.00 / $6,920.00	Facility		$548.00	$1,523.00	$6,920.00