Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $5,382.00 / $17,054.00	Facility		$1,017.00	$5,382.00	$17,054.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,145.00 / $6,138.00 / $23,026.50	Facility		$2,145.00	$6,138.00	$23,026.50
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 $62.17 / $88.48 / $106.18	Professional		$62.17	$88.48	$106.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $82.19 / $107.58 / $189.57	Professional		$82.19	$107.58	$189.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $185.22 / $1,300.00	Facility		$55.00	$185.22	$1,300.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $86.06 / $107.58 / $160.72	Facility		$86.06	$107.58	$160.72
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