Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $8,511.38 / $18,197.01	Facility		$3,019.95	$8,511.38	$18,197.01
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,715.35 / $4,073.80 / $11,481.54	Facility	50	$3,715.35	$4,073.80	$11,481.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,128.31 / $15,848.93	Facility		$4,570.88	$8,128.31	$15,848.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,168.69 / $11,481.54	Facility		$66.07	$4,168.69	$11,481.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,630.78	Facility		$3,090.30	$3,090.30	$3,630.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $234.42 / $354.81	Professional		$218.78	$234.42	$354.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $245.47 / $467.74	Professional		$194.98	$245.47	$467.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $45,708.82 / $45,708.82	Facility		$13,803.84	$45,708.82	$45,708.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $338.84 / $660.69	Facility		$234.42	$338.84	$660.69
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $6,918.31	Facility		$6,918.31	$6,918.31	$6,918.31
United Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $10,471.29 / $20,892.96	Facility		$5,623.41	$10,471.29	$20,892.96