Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.07 / $231.57 / $2,264.00	Facility		$202.07	$231.57	$2,264.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.61 / $133.37 / $231.57	Professional		$95.61	$133.37	$231.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.18 / $293.00 / $876.00	Facility		$63.18	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.00 / $245.52 / $369.47	Professional		$118.00	$245.52	$369.47
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $100.00 / $453.57	Facility		$59.40	$100.00	$453.57
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $92.27 / $115.21 / $263.31	Professional		$92.27	$115.21	$263.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.51 / $272.93 / $691.57	Facility		$81.51	$272.93	$691.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.12 / $123.30 / $245.67	Professional		$82.12	$123.30	$245.67
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $51.91 / $51.91 / $62.29	Professional		$51.91	$51.91	$62.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.46 / $117.71 / $230.49	Professional		$95.46	$117.71	$230.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $252.06 / $477.47 / $477.47	Facility		$252.06	$477.47	$477.47
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $773.18 / $793.56 / $793.56	Professional		$773.18	$793.56	$793.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $52.14	Professional		$32.34	$32.34	$52.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.23 / $135.94 / $244.32	Facility		$65.23	$135.94	$244.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $82.12 / $130.72 / $2,250,000.00	Professional		$82.12	$130.72	$2,250,000.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $77.87 / $121.14 / $148.06	Professional		$77.87	$121.14	$148.06
United Facility/Professional Facility Modifier Low / Median / High Price $120.32 / $120.32 / $120.32	Facility		$120.32	$120.32	$120.32
United Facility/Professional Professional Modifier Low / Median / High Price $83.77 / $168.54 / $489.15	Professional		$83.77	$168.54	$489.15