Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $455.00 / $455.00 / $455.00	Facility		$455.00	$455.00	$455.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $315.43 / $455.00 / $500.50	Professional		$315.43	$455.00	$500.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.59 / $249.30 / $876.00	Facility		$44.59	$249.30	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.34 / $1,000.00 / $1,827.59	Professional		$42.34	$1,000.00	$1,827.59
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $57.97 / $85.11 / $140.33	Facility		$57.97	$85.11	$140.33
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $100.00 / $143.01	Professional		$70.00	$100.00	$143.01
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 $2.48 / $3.10 / $3.10	Professional		$2.48	$3.10	$3.10
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 $246.00 / $459.00 / $1,513.00	Professional		$246.00	$459.00	$1,513.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $356.00 / $418.00 / $441.00	Facility		$356.00	$418.00	$441.00
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 / $315.43 / $455.00	Facility		$57.07	$315.43	$455.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $756.53 / $2,400,000.00 / $2,400,000.00	Professional		$756.53	$2,400,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $29.06 / $165.00	Professional		$20.12	$29.06	$165.00