Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $725.64 / $5,740.00 / $16,573.00	Facility		$725.64	$5,740.00	$16,573.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $6,986.00 / $13,707.00	Facility		$2,456.00	$6,986.00	$13,707.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $5,376.95	Facility		$66.09	$100.00	$5,376.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,239.41 / $1,464.75 / $3,450.83	Facility		$1,239.41	$1,464.75	$3,450.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $518.61 / $709.84 / $937.86	Professional		$518.61	$709.84	$937.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $514.94 / $721.43 / $1,235.24	Professional		$514.94	$721.43	$1,235.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,466.74 / $3,528.72	Facility		$55.00	$3,466.74	$3,528.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $537.41 / $728.52 / $990.30	Facility		$537.41	$728.52	$990.30
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $2,836.00 / $2,836.00 / $2,836.00	Facility		$2,836.00	$2,836.00	$2,836.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,150.00 / $4,213.00 / $9,131.00	Facility		$2,150.00	$4,213.00	$9,131.00