Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.02 / $192.21 / $483.66	Facility		$71.02	$192.21	$483.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.22 / $68.31 / $71.02	Professional		$58.22	$68.31	$71.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.29 / $486.00 / $876.00	Facility		$44.29	$486.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.05 / $63.14 / $158.77	Professional		$42.05	$63.14	$158.77
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $100.00 / $732.78	Facility		$59.40	$100.00	$732.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $66.95 / $89.42 / $139.88	Professional		$66.95	$89.42	$139.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.66 / $10.42 / $293.82	Facility		$2.66	$10.42	$293.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.89 / $84.25 / $105.32	Professional		$35.89	$84.25	$105.32
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 $135.00 / $328.22 / $832.00	Professional		$135.00	$328.22	$832.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $418.55 / $418.55 / $426.26	Facility		$418.55	$418.55	$426.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $24.14	Professional		$20.00	$20.00	$24.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.76 / $45.17 / $190.61	Facility		$3.76	$45.17	$190.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.02 / $63.07 / $2,400,000.00	Professional		$33.02	$63.07	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $26.43 / $43.35 / $140.55	Professional		$26.43	$43.35	$140.55