Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.97 / $160.47 / $2,264.00	Facility		$128.97	$160.47	$2,264.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.99 / $130.75 / $160.47	Professional		$109.99	$130.75	$160.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.64 / $293.00 / $876.00	Facility		$41.64	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.15 / $180.20 / $334.52	Professional		$140.15	$180.20	$334.52
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.70 / $100.00 / $1,050.88	Facility		$58.70	$100.00	$1,050.88
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $117.42 / $174.44 / $378.81	Professional		$117.42	$174.44	$378.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.80 / $209.91 / $248.98	Facility		$148.80	$209.91	$248.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.67 / $181.13 / $387.27	Professional		$124.67	$181.13	$387.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $103.06 / $103.06 / $123.67	Professional		$103.06	$103.06	$123.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $153.33 / $179.70 / $423.00	Professional		$153.33	$179.70	$423.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $278.37 / $605.54 / $701.34	Facility		$278.37	$605.54	$701.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $854.73 / $854.73 / $1,135.43	Professional		$854.73	$854.73	$1,135.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $187.14 / $265.08	Facility		$42.66	$187.14	$265.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $120.97 / $189.01 / $2,250,000.00	Professional		$120.97	$189.01	$2,250,000.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $147.83 / $192.53 / $235.31	Professional		$147.83	$192.53	$235.31
United Facility/Professional Professional Modifier Low / Median / High Price $105.72 / $154.11 / $379.65	Professional		$105.72	$154.11	$379.65