Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $369.42 / $951.26 / $2,496.00	Facility		$369.42	$951.26	$2,496.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.39 / $377.84 / $1,357.60	Professional		$289.39	$377.84	$1,357.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.59 / $486.00 / $876.00	Facility		$44.59	$486.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.34 / $318.00 / $634.48	Professional		$42.34	$318.00	$634.48
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 $385.00 / $550.00 / $786.56	Professional		$385.00	$550.00	$786.56
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 $280.01 / $350.01 / $350.02	Professional		$280.01	$350.01	$350.02
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 $358.00 / $600.00 / $1,472.00	Professional		$358.00	$600.00	$1,472.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $780.30 / $780.30	Facility		$494.00	$780.30	$780.30
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 $171.29 / $377.84 / $480.25	Facility		$171.29	$377.84	$480.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $624.29 / $2,400,000.00 / $2,400,000.00	Professional		$624.29	$2,400,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $29.06 / $395.00	Professional		$20.12	$29.06	$395.00