Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.04 / $1,048.13 / $2,779.20	Facility		$407.04	$1,048.13	$2,779.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $362.82 / $632.00	Professional		$225.00	$362.82	$632.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $260.00 / $579.79 / $876.00	Facility		$260.00	$579.79	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $595.01 / $960.00	Professional		$500.00	$595.01	$960.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $90.81 / $116.85 / $376.01	Facility		$90.81	$116.85	$376.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $250.00 / $357.53	Professional		$175.00	$250.00	$357.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.10 / $230.60 / $544.77	Facility		$48.10	$230.60	$544.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.49 / $130.61 / $130.61	Professional		$104.49	$130.61	$130.61
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 / $600.00 / $910.00	Professional		$393.93	$600.00	$910.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $562.00 / $1,052.09 / $1,052.09	Facility		$562.00	$1,052.09	$1,052.09
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 $159.44 / $225.00 / $518.83	Facility		$159.44	$225.00	$518.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,362.48 / $2,400,000.00 / $2,400,000.00	Professional		$1,362.48	$2,400,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $35.77 / $360.00	Professional		$20.12	$35.77	$360.00