Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $627.77 / $6,486.00 / $17,013.00	Facility		$627.77	$6,486.00	$17,013.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,007.00 / $14,981.00	Facility		$2,456.00	$7,007.00	$14,981.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $19,950.95	Facility		$66.90	$100.00	$19,950.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,101.23 / $5,000.00 / $5,980.00	Facility		$3,101.23	$5,000.00	$5,980.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $315.33 / $585.60 / $1,120.22	Professional		$315.33	$585.60	$1,120.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $455.80 / $729.69 / $1,261.89	Professional		$455.80	$729.69	$1,261.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,087.92 / $2,277.25 / $26,542.00	Facility		$2,087.92	$2,277.25	$26,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $444.99 / $645.32 / $1,037.79	Facility		$444.99	$645.32	$1,037.79
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $3,841.00 / $3,841.00 / $3,841.00	Facility		$3,841.00	$3,841.00	$3,841.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,800.00 / $7,359.00 / $15,471.00	Facility		$3,800.00	$7,359.00	$15,471.00