Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,353.00 / $6,880.00 / $16,756.00	Facility		$1,353.00	$6,880.00	$16,756.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,580.19 / $3,930.50 / $8,496.70	Facility	50	$1,580.19	$3,930.50	$8,496.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,012.00	Facility		$2,143.00	$5,944.00	$13,012.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.00 / $8,011.98	Facility		$66.70	$100.00	$8,011.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,034.30 / $2,404.17 / $5,664.01	Facility		$2,034.30	$2,404.17	$5,664.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $169.40 / $213.62 / $320.43	Professional		$169.40	$213.62	$320.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $180.73 / $233.25 / $410.52	Professional		$180.73	$233.25	$410.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.80 / $9,133.70 / $26,542.00	Facility		$1,000.80	$9,133.70	$26,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $192.49 / $258.27 / $418.97	Facility		$192.49	$258.27	$418.97
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $4,289.00 / $4,289.00 / $4,289.00	Facility		$4,289.00	$4,289.00	$4,289.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,610.00 / $7,402.00 / $16,148.00	Facility		$3,610.00	$7,402.00	$16,148.00