Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.28 / $34.36 / $2,264.00	Facility		$29.28	$34.36	$2,264.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.12 / $27.97 / $34.36	Professional		$24.12	$27.97	$34.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $293.00 / $876.00	Facility		$11.75	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.97 / $41.61 / $86.41	Professional		$32.97	$41.61	$86.41
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $49.87 / $92.60 / $206.39	Facility		$49.87	$92.60	$206.39
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $29.02 / $36.79 / $89.12	Professional		$29.02	$36.79	$89.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.91 / $209.91 / $248.98	Facility		$111.91	$209.91	$248.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.74 / $37.93 / $78.23	Professional		$25.74	$37.93	$78.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $21.62 / $21.62 / $25.94	Professional		$21.62	$21.62	$25.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.65 / $127.96 / $214.22	Professional		$104.65	$127.96	$214.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $155.40 / $359.91 / $359.91	Facility		$155.40	$359.91	$359.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $304.74 / $313.88 / $313.88	Professional		$304.74	$313.88	$313.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.95 / $32.34 / $32.34	Professional		$11.95	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.28 / $40.44 / $151.32	Facility		$12.28	$40.44	$151.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.50 / $41.64 / $2,250,000.00	Professional		$26.50	$41.64	$2,250,000.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $32.43 / $100.64 / $138.38	Professional		$32.43	$100.64	$138.38
United Facility/Professional Facility Modifier Low / Median / High Price $32.58 / $32.58 / $133.38	Facility		$32.58	$32.58	$133.38
United Facility/Professional Professional Modifier Low / Median / High Price $33.43 / $54.84 / $253.45	Professional		$33.43	$54.84	$253.45