Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,281.40 / $9,229.00 / $20,509.00	Facility		$1,281.40	$9,229.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,204.00 / $9,260.00 / $17,774.00	Facility		$3,204.00	$9,260.00	$17,774.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.00 / $10,033.91	Facility		$66.70	$100.00	$10,033.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,811.56 / $3,322.76 / $7,828.13	Facility		$2,811.56	$3,322.76	$7,828.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $261.56 / $1,067.61 / $1,558.93	Professional		$261.56	$1,067.61	$1,558.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $235.40 / $824.85 / $1,634.04	Professional		$235.40	$824.85	$1,634.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,144.47 / $1,628.53 / $26,542.00	Facility		$1,144.47	$1,628.53	$26,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $271.39 / $992.52 / $1,858.61	Facility		$271.39	$992.52	$1,858.61
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $5,754.00 / $5,754.00 / $5,754.00	Facility		$5,754.00	$5,754.00	$5,754.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,116.00 / $9,810.00 / $23,289.00	Facility		$5,116.00	$9,810.00	$23,289.00