Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $862.04 / $5,178.00 / $17,030.00	Facility		$862.04	$5,178.00	$17,030.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $4,465.00 / $9,589.00	Facility		$1,615.00	$4,465.00	$9,589.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $54,281.00	Facility		$77.09	$100.00	$54,281.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $80.79 / $131.82 / $1,172.75	Professional		$80.79	$131.82	$1,172.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $122.10 / $502.66 / $1,319.34	Professional		$122.10	$502.66	$1,319.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,236.66 / $12,500.00	Facility		$55.00	$1,236.66	$12,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $142.01 / $220.33 / $1,310.91	Facility		$142.01	$220.33	$1,310.91
United Facility/Professional Facility Modifier Low / Median / High Price $526.00 / $1,506.00 / $6,920.00	Facility		$526.00	$1,506.00	$6,920.00