Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.28 / $541.47 / $1,663.20	Facility		$210.28	$541.47	$1,663.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.99 / $240.00 / $678.40	Professional		$203.99	$240.00	$678.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $242.33 / $397.76 / $876.00	Facility		$242.33	$397.76	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $270.00 / $400.00 / $648.91	Professional		$270.00	$400.00	$648.91
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $84.84 / $115.56 / $219.82	Facility		$84.84	$115.56	$219.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $140.00 / $200.00 / $286.02	Professional		$140.00	$200.00	$286.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.83 / $74.17 / $180.59	Facility		$36.83	$74.17	$180.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.00 / $317.49 / $317.50	Professional		$254.00	$317.49	$317.50
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 $270.00 / $400.00 / $780.00	Professional		$270.00	$400.00	$780.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $357.00 / $491.40 / $491.40	Facility		$357.00	$491.40	$491.40
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 $57.07 / $234.69 / $307.42	Facility		$57.07	$234.69	$307.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $444.37 / $2,400,000.00 / $2,400,000.00	Professional		$444.37	$2,400,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $29.06 / $365.00	Professional		$20.12	$29.06	$365.00