Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.14 / $151.00 / $355.72	Facility		$38.14	$151.00	$355.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.60 / $34.06 / $68.38	Professional		$12.60	$34.06	$68.38
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 $25.77 / $38.46 / $42.96	Professional		$25.77	$38.46	$42.96
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 $354.38 / $354.38 / $354.38	Professional		$354.38	$354.38	$354.38
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 / $393.93 / $1,619.00	Professional		$393.93	$393.93	$1,619.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $160.00 / $234.00 / $234.00	Facility		$160.00	$234.00	$234.00
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 $354.38 / $2,400,000.00 / $2,400,000.00	Professional		$354.38	$2,400,000.00	$2,400,000.00