Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $744.00 / $6,322.00 / $17,054.00	Facility		$744.00	$6,322.00	$17,054.00
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 / $7,473.32	Facility		$69.80	$100.00	$7,473.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $611.00 / $1,766.05 / $4,917.14	Facility		$611.00	$1,766.05	$4,917.14
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $150.41 / $529.46 / $890.84	Professional		$150.41	$529.46	$890.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $415.98 / $585.28 / $1,022.81	Professional		$415.98	$585.28	$1,022.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,787.72 / $2,832.84 / $26,542.00	Facility		$2,787.72	$2,832.84	$26,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $378.38 / $545.58 / $866.23	Facility		$378.38	$545.58	$866.23
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