Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,412.54 / $2,041.74	Professional		$870.96	$1,412.54	$2,041.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Professional		$2,884.03	$2,884.03	$2,884.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $2,089.30 / $6,606.93	Professional		$1,071.52	$2,089.30	$6,606.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $3,388.44	Facility		$501.19	$501.19	$3,388.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Professional		$2,754.23	$2,754.23	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,949.84	Facility		$1,348.96	$1,348.96	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,348.96 / $3,090.30	Professional		$1,148.15	$1,348.96	$3,090.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,818.38	Professional		$2,344.23	$2,344.23	$2,818.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $831.76 / $2,238.72	Professional		$630.96	$831.76	$2,238.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $15,135.61 / $15,135.61	Facility		$2,398.83	$15,135.61	$15,135.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,778.28 / $2,884.03	Facility		$912.01	$1,778.28	$2,884.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,380.38	Professional		$1,148.15	$1,148.15	$1,380.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Professional		$2,344.23	$2,344.23	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $831.76 / $1,778.28	Facility		$91.20	$831.76	$1,778.28
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,348.96 / $2,344.23	Professional		$1,047.13	$1,348.96	$2,344.23