Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $267.00 / $5,178.00 / $16,125.00	Facility		$267.00	$5,178.00	$16,125.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,718.00 / $9,381.00	Facility		$1,759.00	$4,718.00	$9,381.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.00 / $5,507.00	Facility		$66.70	$100.00	$5,507.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,212.60 / $1,433.09 / $3,376.23	Facility		$1,212.60	$1,433.09	$3,376.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $103.83 / $176.35 / $238.07	Professional		$103.83	$176.35	$238.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.19 / $156.50 / $269.64	Professional		$95.19	$156.50	$269.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $444.76 / $463.55 / $12,000.00	Facility		$444.76	$463.55	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $157.88 / $296.25	Facility		$100.00	$157.88	$296.25
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $3,957.00 / $3,957.00 / $3,957.00	Facility		$3,957.00	$3,957.00	$3,957.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $7,274.00 / $14,743.00	Facility		$1,300.00	$7,274.00	$14,743.00