Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,843.00 / $7,754.00 / $18,293.00	Facility		$2,843.00	$7,754.00	$18,293.00
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $20,975.28 / $20,975.28 / $20,975.28	Facility	22	$20,975.28	$20,975.28	$20,975.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $8,484.00 / $17,774.00	Facility		$2,776.00	$8,484.00	$17,774.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $9,400.28	Facility		$66.90	$100.00	$9,400.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $3,101.23 / $5,554.45	Facility		$2,813.00	$3,101.23	$5,554.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $421.82 / $1,004.54 / $1,356.13	Professional		$421.82	$1,004.54	$1,356.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $801.00 / $1,114.88 / $2,002.88	Professional		$801.00	$1,114.88	$2,002.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,165.80 / $8,957.00 / $26,542.00	Facility		$3,165.80	$8,957.00	$26,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $870.98 / $1,104.08 / $1,551.87	Facility		$870.98	$1,104.08	$1,551.87
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $5,083.00 / $5,083.00 / $5,083.00	Facility		$5,083.00	$5,083.00	$5,083.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,523.00 / $9,713.00 / $21,278.00	Facility		$4,523.00	$9,713.00	$21,278.00