Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $9,674.00 / $22,330.11	Facility		$873.00	$9,674.00	$22,330.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,863.00 / $11,400.00	Facility		$2,143.00	$5,863.00	$11,400.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,778.71	Facility		$66.00	$100.00	$9,778.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $264.33 / $333.35 / $954.70	Professional		$264.33	$333.35	$954.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $697.83 / $873.04 / $1,633.79	Professional		$697.83	$873.04	$1,633.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $7,367.36 / $9,245.06	Facility		$55.00	$7,367.36	$9,245.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $698.59 / $907.18 / $1,272.93	Facility		$698.59	$907.18	$1,272.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,407.00 / $2,753.00 / $7,940.00	Facility		$1,407.00	$2,753.00	$7,940.00