Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.02 / $303.89 / $1,457.66	Facility		$118.02	$303.89	$1,457.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.51 / $105.00 / $300.00	Professional		$81.51	$105.00	$300.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $249.30 / $876.00	Facility		$35.09	$249.30	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.32 / $89.40 / $180.39	Professional		$33.32	$89.40	$180.39
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 $80.50 / $115.00 / $164.46	Professional		$80.50	$115.00	$164.46
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 $105.73 / $132.16 / $132.16	Professional		$105.73	$132.16	$132.16
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 $115.00 / $246.00 / $393.93	Professional		$115.00	$246.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $178.77 / $270.00 / $270.00	Facility		$178.77	$270.00	$270.00
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 $50.84 / $90.98 / $149.87	Facility		$50.84	$90.98	$149.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $411.32 / $2,400,000.00 / $2,400,000.00	Professional		$411.32	$2,400,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $29.06 / $195.00	Professional		$20.12	$29.06	$195.00