Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.02 / $204.81 / $7,054.00	Facility		$40.02	$204.81	$7,054.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $5,931.00 / $12,953.00	Facility		$2,137.00	$5,931.00	$12,953.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.50 / $91.00 / $24,547.00	Facility		$65.50	$91.00	$24,547.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $27.01 / $154.69 / $196.20	Professional		$27.01	$154.69	$196.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.31 / $30.26 / $57.27	Professional		$24.31	$30.26	$57.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $57.44 / $5,294.00 / $5,294.00	Facility		$57.44	$5,294.00	$5,294.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.09 / $38.74 / $249.27	Facility		$26.09	$38.74	$249.27
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,551.00 / $7,068.00	Facility		$548.00	$1,551.00	$7,068.00