Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.18 / $203.03 / $2,264.00	Facility		$183.18	$203.03	$2,264.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.54 / $163.06 / $202.35	Professional		$131.54	$163.06	$202.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.91 / $293.00 / $876.00	Facility		$65.91	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.08 / $213.95 / $319.55	Professional		$137.08	$213.95	$319.55
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $57.50 / $100.00 / $1,051.93	Facility		$57.50	$100.00	$1,051.93
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $135.41 / $195.13 / $454.05	Professional		$135.41	$195.13	$454.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.55 / $209.91 / $248.98	Facility		$178.55	$209.91	$248.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.87 / $213.46 / $419.46	Professional		$144.87	$213.46	$419.46
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $120.52 / $120.52 / $144.62	Professional		$120.52	$120.52	$144.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.69 / $197.39 / $396.36	Professional		$158.69	$197.39	$396.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $353.41 / $836.52 / $836.52	Facility		$353.41	$836.52	$836.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,031.22 / $1,031.22 / $1,353.60	Professional		$1,031.22	$1,031.22	$1,353.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $57.96	Professional		$32.34	$32.34	$57.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.86 / $210.53 / $300.91	Facility		$68.86	$210.53	$300.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $154.40 / $238.02 / $2,250,000.00	Professional		$154.40	$238.02	$2,250,000.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $176.20 / $242.03 / $293.89	Professional		$176.20	$242.03	$293.89
United Facility/Professional Facility Modifier Low / Median / High Price $200.69 / $200.69 / $200.69	Facility		$200.69	$200.69	$200.69
United Facility/Professional Professional Modifier Low / Median / High Price $128.25 / $180.96 / $427.18	Professional		$128.25	$180.96	$427.18