Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.59 / $133.47 / $2,264.00	Facility		$111.59	$133.47	$2,264.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.71 / $114.02 / $136.05	Professional		$97.71	$114.02	$136.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.03 / $293.00 / $876.00	Facility		$58.03	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.80 / $145.10 / $269.45	Professional		$122.80	$145.10	$269.45
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.70 / $100.00 / $613.14	Facility		$58.70	$100.00	$613.14
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $144.05 / $314.58	Professional		$100.00	$144.05	$314.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.49 / $209.91 / $248.98	Facility		$130.49	$209.91	$248.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.26 / $155.41 / $337.14	Professional		$107.26	$155.41	$337.14
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $112.96 / $112.96 / $135.55	Professional		$112.96	$112.96	$135.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.93 / $153.08 / $315.17	Professional		$128.93	$153.08	$315.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $249.84 / $529.82 / $602.25	Facility		$249.84	$529.82	$602.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $748.56 / $748.56 / $970.28	Professional		$748.56	$748.56	$970.28
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 $75.45 / $160.38 / $220.01	Facility		$75.45	$160.38	$220.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.26 / $163.72 / $2,250,000.00	Professional		$107.26	$163.72	$2,250,000.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $90.19 / $153.32 / $190.34	Professional		$90.19	$153.32	$190.34
United Facility/Professional Professional Modifier Low / Median / High Price $94.64 / $137.00 / $347.50	Professional		$94.64	$137.00	$347.50