Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,170.65 / $4,765.75 / $16,125.00	Facility		$1,170.65	$4,765.75	$16,125.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,597.00 / $9,381.00	Facility		$1,723.00	$4,597.00	$9,381.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $4,970.60	Facility		$66.90	$100.00	$4,970.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.00 / $1,646.28 / $2,948.55	Facility		$1,487.00	$1,646.28	$2,948.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $96.43 / $233.05 / $314.62	Professional		$96.43	$233.05	$314.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $263.93 / $472.24	Professional		$190.55	$263.93	$472.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $923.60 / $4,754.80 / $12,000.00	Facility		$923.60	$4,754.80	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $208.36 / $258.75 / $373.52	Facility		$208.36	$258.75	$373.52
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $2,633.00 / $2,633.00 / $2,633.00	Facility		$2,633.00	$2,633.00	$2,633.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,048.00 / $4,060.00 / $9,131.00	Facility		$2,048.00	$4,060.00	$9,131.00