Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $9,665.00 / $20,509.00	Facility		$873.00	$9,665.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,029.57 / $5,619.00 / $13,707.00	Facility		$1,029.57	$5,619.00	$13,707.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $100.00 / $5,822.19	Facility		$64.00	$100.00	$5,822.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $428.96 / $471.86 / $557.65	Professional		$428.96	$471.86	$557.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $379.88 / $469.78 / $880.02	Professional		$379.88	$469.78	$880.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,807.25 / $2,261.10	Facility		$55.00	$1,807.25	$2,261.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $391.48 / $514.75 / $779.46	Facility		$391.48	$514.75	$779.46
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,319.00 / $20,279.00	Facility		$2,047.00	$5,319.00	$20,279.00