Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $934.95 / $5,322.00 / $17,054.00	Facility		$934.95	$5,322.00	$17,054.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,549.00 / $9,596.00	Facility		$1,759.00	$4,549.00	$9,596.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $1,596.84	Facility		$65.90	$100.00	$1,596.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $52.12 / $62.24 / $80.91	Professional		$52.12	$62.24	$80.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.02 / $70.30 / $132.87	Professional		$56.02	$70.30	$132.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $219.64 / $1,300.00	Facility		$55.00	$219.64	$1,300.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.50 / $76.38 / $108.99	Facility		$58.50	$76.38	$108.99
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,533.00 / $9,132.00	Facility		$548.00	$1,533.00	$9,132.00