Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $965.00 / $2,127.00 / $6,566.00	Facility		$965.00	$2,127.00	$6,566.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,734.00 / $2,711.00 / $3,533.00	Facility		$1,734.00	$2,711.00	$3,533.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $87.50 / $210.00 / $5,231.00	Facility		$87.50	$210.00	$5,231.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,616.00 / $5,250.00	Facility		$300.00	$1,616.00	$5,250.00
Contra Costa Health Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $800.00 / $900.00	Facility		$800.00	$800.00	$900.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $163.00 / $775.00 / $16,886.00	Facility		$163.00	$775.00	$16,886.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,650.00 / $9,269.00 / $10,000.00	Facility		$1,650.00	$9,269.00	$10,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $295.00 / $1,380.00 / $4,313.00	Facility		$295.00	$1,380.00	$4,313.00
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
United Facility/Professional Facility Modifier Low / Median / High Price $902.00 / $1,919.00 / $9,350.00	Facility		$902.00	$1,919.00	$9,350.00