Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,169.00 / $6,695.00 / $17,902.00	Facility		$1,169.00	$6,695.00	$17,902.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $12,615.00	Facility		$2,143.00	$5,944.00	$12,615.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $8,114.52	Facility		$65.90	$100.00	$8,114.52
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $119.51 / $123.00 / $159.90	Professional		$119.51	$123.00	$159.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $110.70 / $140.93 / $264.16	Professional		$110.70	$140.93	$264.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $776.79 / $7,984.00	Facility		$55.00	$776.79	$7,984.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.44 / $145.97 / $200.49	Facility		$117.44	$145.97	$200.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,407.00 / $2,753.00 / $11,305.00	Facility		$1,407.00	$2,753.00	$11,305.00