Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $963.00 / $2,127.00 / $6,274.00	Facility		$963.00	$2,127.00	$6,274.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $904.00 / $2,084.00 / $4,015.00	Facility		$904.00	$2,084.00	$4,015.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $87.50 / $375.00 / $4,705.00	Facility		$87.50	$375.00	$4,705.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $390.00 / $1,616.00 / $5,785.00	Facility		$390.00	$1,616.00	$5,785.00
Contra Costa Health Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $485.00 / $600.00	Facility		$425.00	$485.00	$600.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $195.00 / $453.00 / $9,127.00	Facility		$195.00	$453.00	$9,127.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,350.00 / $9,269.00 / $10,000.00	Facility		$1,350.00	$9,269.00	$10,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $370.00 / $1,250.00 / $4,493.00	Facility		$370.00	$1,250.00	$4,493.00
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $2,037.00 / $2,037.00 / $2,037.00	Facility		$2,037.00	$2,037.00	$2,037.00
The Alliance Facility/Professional Facility Modifier Low / Median / High Price $525.00 / $525.00 / $525.00	Facility		$525.00	$525.00	$525.00
United Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $1,850.00 / $6,597.00	Facility		$800.00	$1,850.00	$6,597.00