Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,816.07 / $4,483.99 / $7,997.72	Professional		$2,816.07	$4,483.99	$7,997.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,600.00 / $2,600.00 / $2,600.00	Professional		$2,600.00	$2,600.00	$2,600.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $608.79 / $674.57 / $674.57	Facility		$608.79	$674.57	$674.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,976.98 / $6,841.67 / $12,372.85	Professional		$3,976.98	$6,841.67	$12,372.85
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $1,215.00 / $1,215.00 / $1,215.00	Facility		$1,215.00	$1,215.00	$1,215.00
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 $4,978.93 / $4,978.93 / $4,978.93	Facility		$4,978.93	$4,978.93	$4,978.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,232.09 / $4,232.09 / $14,873.44	Professional		$4,232.09	$4,232.09	$14,873.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $6,817.68 / $6,817.68 / $8,181.22	Professional		$6,817.68	$6,817.68	$8,181.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $4,733.76 / $5,397.33	Professional		$638.07	$4,733.76	$5,397.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $6,889.88 / $6,889.88	Facility		$65.00	$6,889.88	$6,889.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,863.36 / $6,153.84 / $7,188.96	Facility		$3,863.36	$6,153.84	$7,188.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,232.09 / $4,400.00 / $4,978.93	Professional		$4,232.09	$4,400.00	$4,978.93
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $6,817.68 / $6,817.68 / $6,817.68	Professional		$6,817.68	$6,817.68	$6,817.68
United Facility/Professional Professional Modifier Low / Median / High Price $2,901.24 / $3,194.76 / $4,667.55	Professional		$2,901.24	$3,194.76	$4,667.55