Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $867.63 / $9,674.00 / $19,860.00	Facility		$867.63	$9,674.00	$19,860.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,653.00 / $11,059.00 / $23,548.00	Facility		$4,653.00	$11,059.00	$23,548.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $5,485.17	Facility		$63.90	$100.00	$5,485.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $767.68 / $1,253.52 / $1,504.22	Professional		$767.68	$1,253.52	$1,504.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,091.14 / $1,461.68 / $2,667.24	Professional		$1,091.14	$1,461.68	$2,667.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,269.03 / $16,555.08	Facility		$55.00	$4,269.03	$16,555.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $875.18 / $1,387.70 / $1,817.60	Facility		$875.18	$1,387.70	$1,817.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,060.00 / $5,319.00 / $17,075.00	Facility		$2,060.00	$5,319.00	$17,075.00