Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,224.40 / $4,599.43 / $7,910.85	Professional		$3,224.40	$4,599.43	$7,910.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6,640.83 / $6,640.83 / $6,640.83	Professional		$6,640.83	$6,640.83	$6,640.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $527.44 / $584.41 / $584.41	Facility		$527.44	$584.41	$584.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,844.23 / $7,430.10 / $9,967.68	Professional		$5,844.23	$7,430.10	$9,967.68
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $12,462.62 / $12,462.62 / $12,462.62	Facility		$12,462.62	$12,462.62	$12,462.62
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,900.00 / $5,900.00 / $7,207.57	Facility		$5,900.00	$5,900.00	$7,207.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,015.00 / $5,900.00 / $11,268.75	Professional		$5,015.00	$5,900.00	$11,268.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $8,741.27 / $8,741.27 / $10,489.52	Professional		$8,741.27	$8,741.27	$10,489.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $8,304.20 / $10,836.00	Professional		$638.07	$8,304.20	$10,836.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,774.26 / $53,184.97 / $55,123.99	Facility		$8,774.26	$53,184.97	$55,123.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,343.54 / $6,451.88 / $10,357.79	Facility		$3,343.54	$6,451.88	$10,357.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,015.00 / $5,900.00 / $7,954.00	Professional		$5,015.00	$5,900.00	$7,954.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $8,741.27 / $8,741.27 / $8,741.27	Professional		$8,741.27	$8,741.27	$8,741.27
United Facility/Professional Professional Modifier Low / Median / High Price $3,900.79 / $4,876.80 / $8,355.58	Professional		$3,900.79	$4,876.80	$8,355.58