Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $411.00 / $4,397.00 / $16,125.00	Facility		$411.00	$4,397.00	$16,125.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,464.00 / $8,976.00	Facility		$1,723.00	$4,464.00	$8,976.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $4,886.39	Facility		$66.90	$100.00	$4,886.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $938.60 / $940.26 / $1,992.00	Facility		$938.60	$940.26	$1,992.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $92.95 / $135.13 / $220.90	Professional		$92.95	$135.13	$220.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $144.07 / $273.70	Professional		$84.57	$144.07	$273.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $386.01 / $413.87	Facility		$55.00	$386.01	$413.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $99.42 / $143.46 / $220.75	Facility		$99.42	$143.46	$220.75
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $1,526.00 / $1,526.00 / $1,526.00	Facility		$1,526.00	$1,526.00	$1,526.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,371.00 / $2,699.00 / $7,399.00	Facility		$1,371.00	$2,699.00	$7,399.00