Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $788.62 / $9,639.00 / $20,509.00	Facility		$788.62	$9,639.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,597.00 / $10,247.75 / $21,405.00	Facility		$4,597.00	$10,247.75	$21,405.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $5,485.17	Facility		$63.50	$100.00	$5,485.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $830.23 / $955.89 / $1,173.14	Professional		$830.23	$955.89	$1,173.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $782.09 / $1,004.20 / $1,800.96	Professional		$782.09	$1,004.20	$1,800.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $11,985.60 / $14,754.88	Facility		$55.00	$11,985.60	$14,754.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $818.41 / $1,050.68 / $1,648.85	Facility		$818.41	$1,050.68	$1,648.85
United Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $5,159.00 / $20,279.00	Facility		$2,009.00	$5,159.00	$20,279.00