Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.24 / $360.04 / $475.11	Facility		$13.24	$360.04	$475.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.46 / $30.46 / $162.35	Professional		$9.46	$30.46	$162.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.50 / $293.00 / $876.00	Facility		$50.50	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,224.00 / $3,224.00 / $3,224.00	Professional		$3,224.00	$3,224.00	$3,224.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,528.39 / $1,528.39 / $1,528.39	Professional		$1,528.39	$1,528.39	$1,528.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $39.77 / $101.64	Facility		$19.00	$39.77	$101.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,995.49 / $2,995.49 / $3,744.36	Professional		$2,995.49	$2,995.49	$3,744.36
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $99.00 / $99.00	Professional		$99.00	$99.00	$99.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $800.00 / $1,619.00	Professional		$393.93	$800.00	$1,619.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,518.19 / $1,518.19 / $1,570.00	Facility		$1,518.19	$1,518.19	$1,570.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $39.77 / $101.45	Facility		$19.00	$39.77	$101.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,336.25 / $2,400,000.00 / $2,400,000.00	Professional		$3,336.25	$2,400,000.00	$2,400,000.00