Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.71 / $224.16 / $349.86	Facility		$96.71	$224.16	$349.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.96 / $247.90 / $477.23	Professional		$28.96	$247.90	$477.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.50 / $293.00 / $876.00	Facility		$50.50	$293.00	$876.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $12.87 / $22.50 / $1,908.05	Professional		$12.87	$22.50	$1,908.05
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 $13.00 / $13.00 / $13.00	Professional		$13.00	$13.00	$13.00
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 $24.00 / $393.93 / $1,619.00	Professional		$24.00	$393.93	$1,619.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,895.32 / $1,895.32 / $1,960.00	Facility		$1,895.32	$1,895.32	$1,960.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.72 / $39.77 / $101.45	Facility		$19.72	$39.77	$101.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $2,400,000.00 / $2,400,000.00	Professional		$13.00	$2,400,000.00	$2,400,000.00