Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $8,934.00 / $19,860.00	Facility		$2,421.00	$8,934.00	$19,860.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,518.00 / $8,239.00 / $18,725.00	Facility		$3,518.00	$8,239.00	$18,725.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $100.00 / $5,509.60	Facility		$64.20	$100.00	$5,509.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $529.40 / $582.34 / $688.22	Professional		$529.40	$582.34	$688.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.07 / $606.74 / $1,067.85	Professional		$467.07	$606.74	$1,067.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,987.67 / $6,060.52	Facility		$55.00	$2,987.67	$6,060.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $473.98 / $605.70 / $919.32	Facility		$473.98	$605.70	$919.32
United Facility/Professional Facility Modifier Low / Median / High Price $4,110.00 / $9,707.00 / $21,278.00	Facility		$4,110.00	$9,707.00	$21,278.00