Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.66 / $139.79 / $2,264.00	Facility		$113.66	$139.79	$2,264.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.97 / $114.11 / $139.79	Professional		$96.97	$114.11	$139.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.10 / $293.00 / $876.00	Facility		$48.10	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.06 / $174.16 / $286.22	Professional		$139.06	$174.16	$286.22
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.70 / $100.00 / $2,455.65	Facility		$58.70	$100.00	$2,455.65
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $233.16 / $348.45 / $755.04	Professional		$233.16	$348.45	$755.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.11 / $210.20 / $336.01	Facility		$130.11	$210.20	$336.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.56 / $163.68 / $359.39	Professional		$107.56	$163.68	$359.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $132.16 / $132.16 / $158.60	Professional		$132.16	$132.16	$158.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $310.08 / $364.13 / $606.88	Professional		$310.08	$364.13	$606.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $325.11 / $808.32 / $818.13	Facility		$325.11	$808.32	$818.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.74 / $1,632.28 / $1,632.28	Professional		$1,584.74	$1,632.28	$1,632.28
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 $46.13 / $203.56 / $519.10	Facility		$46.13	$203.56	$519.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.35 / $183.58 / $2,250,000.00	Professional		$109.35	$183.58	$2,250,000.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $189.59 / $339.99 / $467.49	Professional		$189.59	$339.99	$467.49
United Facility/Professional Professional Modifier Low / Median / High Price $207.01 / $279.80 / $713.24	Professional		$207.01	$279.80	$713.24