Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $618.00 / $1,076.00	Facility		$400.00	$618.00	$1,076.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $80.54 / $100.00 / $2,870.00	Facility		$80.54	$100.00	$2,870.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,785.00 / $5,250.00 / $10,872.00	Facility		$1,785.00	$5,250.00	$10,872.00
Contra Costa Health Facility/Professional Facility Modifier Low / Median / High Price $1,623.25 / $1,623.25 / $1,623.25	Facility		$1,623.25	$1,623.25	$1,623.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $350.00 / $760.17	Facility		$135.00	$350.00	$760.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,645.00 / $4,493.00 / $10,749.00	Facility		$1,645.00	$4,493.00	$10,749.00
United Facility/Professional Facility Modifier Low / Median / High Price $782.00 / $1,810.00 / $3,438.00	Facility		$782.00	$1,810.00	$3,438.00