Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,435.17 / $6,689.00 / $16,756.00	Facility		$1,435.17	$6,689.00	$16,756.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,329.75 / $9,646.50 / $15,958.00	Facility	50	$4,329.75	$9,646.50	$15,958.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $6,945.00 / $13,707.00	Facility		$2,143.00	$6,945.00	$13,707.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.00 / $7,615.58	Facility		$66.70	$100.00	$7,615.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $571.29 / $1,458.73 / $1,988.34	Facility		$571.29	$1,458.73	$1,988.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $521.22 / $599.40 / $985.95	Professional		$521.22	$599.40	$985.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $427.63 / $570.86 / $1,187.45	Professional		$427.63	$570.86	$1,187.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,484.78 / $11,500.00 / $26,542.00	Facility		$2,484.78	$11,500.00	$26,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $544.70 / $698.45 / $1,185.00	Facility		$544.70	$698.45	$1,185.00
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $4,440.00 / $4,440.00 / $4,440.00	Facility		$4,440.00	$4,440.00	$4,440.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,359.00 / $15,471.00	Facility		$3,523.00	$7,359.00	$15,471.00