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 / $21,960.90	Facility		$873.00	$9,665.00	$21,960.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $6,417.00 / $13,824.26	Facility		$2,456.00	$6,417.00	$13,824.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $100.00 / $5,714.18	Facility		$64.20	$100.00	$5,714.18
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $489.20 / $724.00 / $868.80	Professional		$489.20	$724.00	$868.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $644.60 / $832.60 / $1,470.13	Professional		$644.60	$832.60	$1,470.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,363.40 / $3,174.14	Facility		$55.00	$2,363.40	$3,174.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $659.30 / $886.18 / $1,205.08	Facility		$659.30	$886.18	$1,205.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,732.00 / $5,067.00 / $20,279.00	Facility		$1,732.00	$5,067.00	$20,279.00