Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $864.99 / $9,639.00 / $22,788.00	Facility		$864.99	$9,639.00	$22,788.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,043.00 / $8,932.00 / $18,903.00	Facility		$4,043.00	$8,932.00	$18,903.00
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 $505.96 / $765.66 / $1,215.11	Professional		$505.96	$765.66	$1,215.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $909.77 / $1,165.57 / $2,082.12	Professional		$909.77	$1,165.57	$2,082.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $8,656.79 / $10,563.60	Facility		$55.00	$8,656.79	$10,563.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $913.55 / $1,144.47 / $1,726.32	Facility		$913.55	$1,144.47	$1,726.32
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