Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $9,639.00 / $20,509.00	Facility		$873.00	$9,639.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $6,986.00 / $13,707.00	Facility		$2,629.00	$6,986.00	$13,707.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $12,774.69	Facility		$66.00	$100.00	$12,774.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $582.51 / $640.76 / $757.26	Professional		$582.51	$640.76	$757.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $503.62 / $633.01 / $1,177.81	Professional		$503.62	$633.01	$1,177.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,255.47 / $7,984.00	Facility		$55.00	$5,255.47	$7,984.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $511.15 / $644.86 / $933.95	Facility		$511.15	$644.86	$933.95
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