Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $2,398.83 / $2,754.23	Facility		$549.54	$2,398.83	$2,754.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $95.50 / $100.00	Facility		$81.28	$95.50	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Facility		$1,905.46	$1,905.46	$1,905.46
Contra Costa Health Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $891.25	Facility		$794.33	$794.33	$891.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $213.80 / $19,054.61	Facility		$141.25	$213.80	$19,054.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Facility		$1,905.46	$1,905.46	$1,905.46
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Facility		$2,041.74	$2,041.74	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $25,703.96 / $63,095.73	Facility		$6,025.60	$25,703.96	$63,095.73