Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $441.30 / $507.13 / $2,264.00	Facility		$441.30	$507.13	$2,264.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.65 / $1,087.46 / $1,666.99	Professional		$389.65	$1,087.46	$1,666.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.03 / $293.00 / $876.00	Facility		$57.03	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $320.25 / $529.51 / $1,174.70	Professional		$320.25	$529.51	$1,174.70
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $511.08 / $2,236.62	Facility		$59.40	$511.08	$2,236.62
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $225.97 / $323.66 / $753.14	Professional		$225.97	$323.66	$753.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $401.45 / $3,561.80 / $7,803.95	Facility		$401.45	$3,561.80	$7,803.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.07 / $337.25 / $667.49	Professional		$227.07	$337.25	$667.49
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $129.80 / $129.80 / $155.76	Professional		$129.80	$129.80	$155.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $273.26 / $342.80 / $671.00	Professional		$273.26	$342.80	$671.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $521.89 / $3,586.95 / $3,586.95	Facility		$521.89	$3,586.95	$3,586.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,468.80 / $2,468.80 / $2,468.80	Professional		$2,468.80	$2,468.80	$2,468.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $55.37	Professional		$32.34	$32.34	$55.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.29 / $398.94 / $1,849.27	Facility		$68.29	$398.94	$1,849.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $225.67 / $360.51 / $2,250,000.00	Professional		$225.67	$360.51	$2,250,000.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $194.71 / $336.14 / $462.20	Professional		$194.71	$336.14	$462.20
United Facility/Professional Facility Modifier Low / Median / High Price $349.12 / $1,132.64 / $1,132.64	Facility		$349.12	$1,132.64	$1,132.64
United Facility/Professional Professional Modifier Low / Median / High Price $218.55 / $1,690.80 / $4,361.88	Professional		$218.55	$1,690.80	$4,361.88