Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.00 / $286.39 / $990.10	Facility		$92.00	$286.39	$990.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.00 / $121.41 / $139.38	Professional		$92.00	$121.41	$139.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.11 / $249.30 / $876.00	Facility		$34.11	$249.30	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.40 / $84.60 / $148.05	Professional		$32.40	$84.60	$148.05
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 $59.50 / $85.00 / $121.56	Professional		$59.50	$85.00	$121.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.36 / $86.25 / $176.69	Facility		$40.36	$86.25	$176.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.78 / $78.47 / $78.48	Professional		$62.78	$78.47	$78.48
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 $78.00 / $215.00 / $482.00	Professional		$78.00	$215.00	$482.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $128.52 / $170.10 / $170.10	Facility		$128.52	$170.10	$170.10
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 $47.43 / $97.56 / $153.72	Facility		$47.43	$97.56	$153.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $334.20 / $2,400,000.00 / $2,400,000.00	Professional		$334.20	$2,400,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $14.88 / $20.12 / $132.00	Professional		$14.88	$20.12	$132.00