Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.07 / $359.94 / $915.96	Facility		$115.07	$359.94	$915.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $115.07 / $344.80	Professional		$112.20	$115.07	$344.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.65 / $486.00 / $876.00	Facility		$131.65	$486.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.01 / $135.01 / $251.02	Professional		$110.01	$135.01	$251.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $28.43 / $65.11 / $376.01	Facility		$28.43	$65.11	$376.01
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 / $230.60 / $544.77	Facility		$48.10	$230.60	$544.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.64 / $306.64 / $306.64	Professional		$306.64	$306.64	$306.64
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 $194.00 / $228.00 / $582.00	Professional		$194.00	$228.00	$582.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $164.01 / $224.10 / $224.10	Facility		$164.01	$224.10	$224.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $301.70 / $306.64 / $316.77	Professional		$301.70	$306.64	$316.77
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 $112.20 / $174.50 / $362.23	Facility		$112.20	$174.50	$362.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $306.64 / $2,400,000.00 / $2,400,000.00	Professional		$306.64	$2,400,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $29.06 / $133.65	Professional		$20.12	$29.06	$133.65