Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $7,762.47 / $18,620.87	Facility		$3,467.37	$7,762.47	$18,620.87
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,025.60 / $8,128.31 / $22,908.68	Facility	50	$6,025.60	$8,128.31	$22,908.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,471.29 / $17,782.79	Facility		$6,025.60	$10,471.29	$17,782.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,981.07 / $10,471.29	Facility		$66.07	$3,981.07	$10,471.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,445.44 / $1,995.26	Facility		$707.95	$1,445.44	$1,995.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $575.44 / $1,479.11	Professional		$478.63	$575.44	$1,479.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $489.78 / $1,047.13	Professional		$380.19	$489.78	$1,047.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $33,884.42 / $33,884.42	Facility		$5,754.40	$33,884.42	$33,884.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $741.31 / $1,288.25	Facility		$489.78	$741.31	$1,288.25
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84
United Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $7,244.36 / $15,135.61	Facility		$3,801.89	$7,244.36	$15,135.61