Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $7,244.36 / $18,197.01	Facility		$2,951.21	$7,244.36	$18,197.01
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $25,118.86 / $25,118.86 / $25,118.86	Facility	22	$25,118.86	$25,118.86	$25,118.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,471.29 / $17,782.79	Facility		$6,025.60	$10,471.29	$17,782.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,168.69 / $9,120.11	Facility		$66.07	$4,168.69	$9,120.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $5,011.87	Facility		$3,090.30	$3,090.30	$5,011.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $741.31 / $1,000.00	Professional		$562.34	$741.31	$1,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $794.33 / $1,548.82	Professional		$602.56	$794.33	$1,548.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $45,708.82	Facility		$8,912.51	$8,912.51	$45,708.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $891.25 / $1,445.44	Facility		$676.08	$891.25	$1,445.44
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Facility		$4,897.79	$4,897.79	$4,897.79
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $9,772.37 / $20,892.96	Facility		$5,370.32	$9,772.37	$20,892.96