Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.32 / $284.35 / $2,264.00	Facility		$247.32	$284.35	$2,264.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.41 / $410.85 / $589.73	Professional		$218.41	$410.85	$589.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.52 / $293.00 / $876.00	Facility		$29.52	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.59 / $270.98 / $522.26	Professional		$116.59	$270.98	$522.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $110.41 / $578.74	Facility		$59.40	$110.41	$578.74
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $71.78 / $90.86 / $204.15	Professional		$71.78	$90.86	$204.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.10 / $1,226.92 / $2,885.26	Facility		$91.10	$1,226.92	$2,885.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.11 / $92.98 / $184.12	Professional		$62.11	$92.98	$184.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $43.28 / $43.28 / $51.94	Professional		$43.28	$43.28	$51.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.03 / $92.76 / $186.42	Professional		$74.03	$92.76	$186.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $164.43 / $846.11 / $846.11	Facility		$164.43	$846.11	$846.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $846.11 / $846.11 / $846.11	Professional		$846.11	$846.11	$846.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.08 / $32.34 / $32.34	Professional		$25.08	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.79 / $111.44 / $681.48	Facility		$30.79	$111.44	$681.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.34 / $99.56 / $2,250,000.00	Professional		$61.34	$99.56	$2,250,000.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $64.92 / $99.40 / $121.48	Professional		$64.92	$99.40	$121.48
United Facility/Professional Facility Modifier Low / Median / High Price $93.76 / $291.38 / $291.38	Facility		$93.76	$291.38	$291.38
United Facility/Professional Professional Modifier Low / Median / High Price $62.44 / $508.51 / $1,267.39	Professional		$62.44	$508.51	$1,267.39