Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $563.00 / $6,640.00 / $17,013.00	Facility		$563.00	$6,640.00	$17,013.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,863.00 / $11,400.00	Facility		$2,143.00	$5,863.00	$11,400.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.00 / $7,864.42	Facility		$66.70	$100.00	$7,864.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,115.08 / $2,499.65 / $5,888.95	Facility		$2,115.08	$2,499.65	$5,888.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $182.41 / $273.62 / $647.04	Professional		$182.41	$273.62	$647.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $219.89 / $417.88 / $746.60	Professional		$219.89	$417.88	$746.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,250.80 / $1,286.30 / $26,542.00	Facility		$1,250.80	$1,286.30	$26,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $258.22 / $440.25 / $668.61	Facility		$258.22	$440.25	$668.61
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $4,022.00 / $4,022.00 / $4,022.00	Facility		$4,022.00	$4,022.00	$4,022.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,800.00 / $7,402.00 / $16,148.00	Facility		$3,800.00	$7,402.00	$16,148.00