Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $7,494.00 / $20,509.00	Facility		$2,387.00	$7,494.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $8,103.00 / $16,413.00	Facility		$1,500.00	$8,103.00	$16,413.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.80 / $100.00 / $9,231.33	Facility		$69.80	$100.00	$9,231.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $1,766.05 / $4,917.14	Facility		$633.00	$1,766.05	$4,917.14
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $416.60 / $614.80 / $829.99	Professional		$416.60	$614.80	$829.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $507.49 / $664.98 / $1,151.00	Professional		$507.49	$664.98	$1,151.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,985.48 / $7,929.30 / $26,542.00	Facility		$2,985.48	$7,929.30	$26,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $516.40 / $676.66 / $983.70	Facility		$516.40	$676.66	$983.70
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 $1,155.00 / $6,838.00 / $14,636.00	Facility		$1,155.00	$6,838.00	$14,636.00