Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $873.93 / $1,246.63 / $2,093.64	Professional		$873.93	$1,246.63	$2,093.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,821.77 / $1,821.77 / $1,821.77	Professional		$1,821.77	$1,821.77	$1,821.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.96 / $158.40 / $158.40	Facility		$142.96	$158.40	$158.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,584.00 / $2,013.90 / $2,701.63	Professional		$1,584.00	$2,013.90	$2,701.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $3,377.84 / $3,377.84 / $3,377.84	Facility		$3,377.84	$3,377.84	$3,377.84
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 $1,350.00 / $1,350.00 / $1,953.54	Facility		$1,350.00	$1,350.00	$1,953.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,147.50 / $1,350.00 / $3,090.00	Professional		$1,147.50	$1,350.00	$3,090.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,369.19 / $2,369.19 / $2,843.04	Professional		$2,369.19	$2,369.19	$2,843.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $2,250.73 / $2,892.00	Professional		$638.07	$2,250.73	$2,892.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,378.14 / $14,590.13 / $15,122.05	Facility		$2,378.14	$14,590.13	$15,122.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $906.22 / $1,764.30 / $2,841.32	Facility		$906.22	$1,764.30	$2,841.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,147.50 / $1,350.00 / $1,697.50	Professional		$1,147.50	$1,350.00	$1,697.50
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,369.19 / $2,369.19 / $2,369.19	Professional		$2,369.19	$2,369.19	$2,369.19
United Facility/Professional Professional Modifier Low / Median / High Price $1,189.70 / $1,333.56 / $2,284.83	Professional		$1,189.70	$1,333.56	$2,284.83