Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.97 / $9,639.00 / $20,509.00	Facility		$446.97	$9,639.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,012.00	Facility		$2,143.00	$5,944.00	$13,012.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $1,693.95	Facility		$63.50	$100.00	$1,693.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $376.02 / $468.65 / $564.03	Professional		$376.02	$468.65	$564.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $431.31 / $557.94 / $990.55	Professional		$431.31	$557.94	$990.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,954.91 / $3,635.24	Facility		$55.00	$2,954.91	$3,635.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $430.93 / $543.80 / $749.84	Facility		$430.93	$543.80	$749.84
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