Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,871.00 / $10,051.00 / $24,620.72	Facility		$2,871.00	$10,051.00	$24,620.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,204.00 / $10,444.00 / $19,888.00	Facility		$3,204.00	$10,444.00	$19,888.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.59 / $100.00 / $10,063.87	Facility		$67.59	$100.00	$10,063.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $664.60 / $7,500.00 / $34,622.00	Facility		$664.60	$7,500.00	$34,622.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $705.14 / $1,028.79 / $1,388.87	Professional		$705.14	$1,028.79	$1,388.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $905.83 / $1,163.80 / $2,306.00	Professional		$905.83	$1,163.80	$2,306.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $12,896.40 / $14,630.00	Facility		$55.00	$12,896.40	$14,630.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $905.66 / $1,163.80 / $1,805.72	Facility		$905.66	$1,163.80	$1,805.72
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $29,585.00 / $29,585.00 / $29,585.00	Facility		$29,585.00	$29,585.00	$29,585.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,575.00 / $10,001.00 / $28,023.00	Facility		$3,575.00	$10,001.00	$28,023.00