Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $425.00 / $6,945.00	Facility		$330.00	$425.00	$6,945.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $80.50 / $97.38 / $219.00	Facility		$80.50	$97.38	$219.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $43.10 / $65.59 / $100.80	Professional		$43.10	$65.59	$100.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.44 / $87.66 / $172.52	Professional		$58.44	$87.66	$172.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $396.60 / $396.60 / $610.77	Facility		$396.60	$396.60	$610.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.39 / $89.73 / $121.18	Facility		$69.39	$89.73	$121.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,061.00 / $1,350.00 / $26,983.00	Facility		$1,061.00	$1,350.00	$26,983.00