Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $435.39 / $500.65 / $2,264.00	Facility		$435.39	$500.65	$2,264.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.50 / $1,697.56 / $3,314.03	Professional		$384.50	$1,697.56	$3,314.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.59 / $293.00 / $876.00	Facility		$39.59	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $312.77 / $520.55 / $1,125.96	Professional		$312.77	$520.55	$1,125.96
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $539.66 / $2,516.96	Facility		$59.40	$539.66	$2,516.96
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $234.56 / $335.09 / $785.21	Professional		$234.56	$335.09	$785.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.43 / $7,088.94 / $15,820.61	Facility		$446.43	$7,088.94	$15,820.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.54 / $347.00 / $685.47	Professional		$233.54	$347.00	$685.47
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $130.76 / $130.76 / $156.91	Professional		$130.76	$130.76	$156.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $286.77 / $359.80 / $702.97	Professional		$286.77	$359.80	$702.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $531.44 / $9,011.04 / $9,011.04	Facility		$531.44	$9,011.04	$9,011.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,824.77 / $4,824.77 / $4,824.77	Professional		$4,824.77	$4,824.77	$4,824.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $38.52	Professional		$32.34	$32.34	$38.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.51 / $423.29 / $3,498.34	Facility		$47.51	$423.29	$3,498.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $229.12 / $369.30 / $2,250,000.00	Professional		$229.12	$369.30	$2,250,000.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $196.14 / $357.39 / $491.41	Professional		$196.14	$357.39	$491.41
United Facility/Professional Facility Modifier Low / Median / High Price $366.06 / $2,838.06 / $2,838.06	Facility		$366.06	$2,838.06	$2,838.06
United Facility/Professional Professional Modifier Low / Median / High Price $227.01 / $1,672.75 / $4,853.24	Professional		$227.01	$1,672.75	$4,853.24