Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,517.00 / $6,558.00 / $17,809.00	Facility		$2,517.00	$6,558.00	$17,809.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $6,797.00 / $13,326.00	Facility		$1,450.00	$6,797.00	$13,326.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.80 / $100.00 / $7,501.98	Facility		$69.80	$100.00	$7,501.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $546.08 / $1,766.05 / $4,917.14	Facility		$546.08	$1,766.05	$4,917.14
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $382.35 / $560.79 / $757.07	Professional		$382.35	$560.79	$757.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $461.41 / $605.42 / $1,127.90	Professional		$461.41	$605.42	$1,127.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,704.86 / $7,929.30 / $26,542.00	Facility		$2,704.86	$7,929.30	$26,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $465.17 / $615.22 / $935.47	Facility		$465.17	$615.22	$935.47
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $4,355.00 / $4,355.00 / $4,355.00	Facility		$4,355.00	$4,355.00	$4,355.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $7,042.00 / $14,743.00	Facility		$1,300.00	$7,042.00	$14,743.00