Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,842.00 / $6,695.00 / $17,809.00	Facility		$1,842.00	$6,695.00	$17,809.00
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $25,365.00 / $25,365.00 / $25,365.00	Facility	22	$25,365.00	$25,365.00	$25,365.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,204.00 / $8,484.00 / $17,774.00	Facility		$3,204.00	$8,484.00	$17,774.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $8,208.49	Facility		$66.90	$100.00	$8,208.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $3,106.72 / $5,554.45	Facility		$2,277.00	$3,106.72	$5,554.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $558.45 / $805.87 / $1,087.92	Professional		$558.45	$805.87	$1,087.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $662.53 / $904.29 / $1,620.21	Professional		$662.53	$904.29	$1,620.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,236.75 / $8,957.00 / $33,500.00	Facility		$3,236.75	$8,957.00	$33,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $730.43 / $909.66 / $1,380.00	Facility		$730.43	$909.66	$1,380.00
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $4,916.00 / $4,916.00 / $4,916.00	Facility		$4,916.00	$4,916.00	$4,916.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,763.00 / $9,758.00 / $21,278.00	Facility		$4,763.00	$9,758.00	$21,278.00