Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $563.58 / $6,558.00 / $17,133.00	Facility		$563.58	$6,558.00	$17,133.00
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 $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 $353.69 / $605.90 / $938.79	Professional		$353.69	$605.90	$938.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.47 / $616.91 / $1,077.86	Professional		$436.47	$616.91	$1,077.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,931.12 / $2,986.98 / $26,542.00	Facility		$2,931.12	$2,986.98	$26,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $423.20 / $605.10 / $916.96	Facility		$423.20	$605.10	$916.96
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 / $6,576.00 / $14,601.00	Facility		$1,155.00	$6,576.00	$14,601.00