Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $621.84 / $5,382.00 / $16,713.00	Facility		$621.84	$5,382.00	$16,713.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,931.00 / $11,456.00	Facility		$2,143.00	$5,931.00	$11,456.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,100.20	Facility		$66.00	$100.00	$7,100.20
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $253.16 / $551.10 / $819.61	Professional		$253.16	$551.10	$819.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $410.18 / $606.26 / $1,131.00	Professional		$410.18	$606.26	$1,131.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,802.48 / $7,909.30 / $16,394.00	Facility		$2,802.48	$7,909.30	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $424.43 / $580.87 / $862.28	Facility		$424.43	$580.87	$862.28
United Facility/Professional Facility Modifier Low / Median / High Price $4,035.00 / $7,473.00 / $15,471.00	Facility		$4,035.00	$7,473.00	$15,471.00