Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $410.30 / $1,291.61 / $3,107.69	Facility		$410.30	$1,291.61	$3,107.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $310.80 / $410.30 / $1,540.80	Professional		$310.80	$410.30	$1,540.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $260.00 / $570.00 / $3,287.31	Facility		$260.00	$570.00	$3,287.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $619.21 / $1,204.82	Professional		$400.00	$619.21	$1,204.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $90.81 / $122.24 / $1,646.04	Facility		$90.81	$122.24	$1,646.04
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $210.00 / $300.00 / $645.87	Professional		$210.00	$300.00	$645.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.10 / $1,160.94 / $2,472.19	Facility		$48.10	$1,160.94	$2,472.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.55 / $228.18 / $228.19	Professional		$182.55	$228.18	$228.19
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 $380.00 / $497.00 / $1,188.00	Professional		$380.00	$497.00	$1,188.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $652.00 / $968.40 / $968.40	Facility		$652.00	$968.40	$968.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,460.70 / $2,410.66 / $2,410.66	Professional		$1,460.70	$2,410.66	$2,410.66
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 $310.80 / $487.58 / $1,724.50	Facility		$310.80	$487.58	$1,724.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $874.06 / $2,400,000.00 / $2,400,000.00	Professional		$874.06	$2,400,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $29.06 / $650.00	Professional		$20.12	$29.06	$650.00