Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,080.00 / $5,390.00 / $16,713.00	Facility		$1,080.00	$5,390.00	$16,713.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $4,465.00 / $9,381.00	Facility		$1,615.00	$4,465.00	$9,381.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $27,955.87	Facility		$77.09	$100.00	$27,955.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $113.92 / $143.66 / $226.28	Professional		$113.92	$143.66	$226.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.71 / $212.34 / $395.49	Professional		$169.71	$212.34	$395.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $408.09 / $1,300.00	Facility		$55.00	$408.09	$1,300.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $179.77 / $237.53 / $339.15	Facility		$179.77	$237.53	$339.15
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,533.00 / $6,920.00	Facility		$548.00	$1,533.00	$6,920.00