Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.35 / $199.24 / $2,264.00	Facility		$153.35	$199.24	$2,264.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.13 / $194.09 / $270.02	Professional		$146.13	$194.09	$270.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.43 / $293.00 / $876.00	Facility		$41.43	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.90 / $225.44 / $309.29	Professional		$146.90	$225.44	$309.29
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.90 / $144.22 / $616.33	Facility		$59.90	$144.22	$616.33
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $90.20 / $113.25 / $250.05	Professional		$90.20	$113.25	$250.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.04 / $620.40 / $1,412.07	Facility		$118.04	$620.40	$1,412.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.22 / $130.37 / $284.41	Professional		$90.22	$130.37	$284.41
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $47.90 / $47.90 / $57.48	Professional		$47.90	$47.90	$57.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.59 / $126.89 / $304.83	Professional		$107.59	$126.89	$304.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $205.62 / $514.16 / $539.87	Facility		$205.62	$514.16	$539.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,272.00 / $1,272.00 / $1,272.00	Professional		$1,272.00	$1,272.00	$1,272.00
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 $48.02 / $153.35 / $280.80	Facility		$48.02	$153.35	$280.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.76 / $135.38 / $2,250,000.00	Professional		$87.76	$135.38	$2,250,000.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $68.70 / $117.28 / $161.26	Professional		$68.70	$117.28	$161.26
United Facility/Professional Professional Modifier Low / Median / High Price $83.53 / $275.73 / $643.34	Professional		$83.53	$275.73	$643.34