Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $332.17 / $909.22 / $2,461.38	Facility		$332.17	$909.22	$2,461.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $299.83 / $332.17 / $365.38	Professional		$299.83	$332.17	$365.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $113.75 / $249.30 / $876.00	Facility		$113.75	$249.30	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $206.70 / $367.58	Professional		$108.00	$206.70	$367.58
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $84.84 / $115.56 / $219.82	Facility		$84.84	$115.56	$219.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $20.00 / $30.23	Professional		$14.00	$20.00	$30.23
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 $109.45 / $136.81 / $136.81	Professional		$109.45	$136.81	$136.81
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 $354.00 / $658.00 / $2,126.00	Professional		$354.00	$658.00	$2,126.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $431.00 / $560.70 / $560.70	Facility		$431.00	$560.70	$560.70
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 / $299.83 / $381.65	Facility		$57.07	$299.83	$381.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $960.35 / $2,400,000.00 / $2,400,000.00	Professional		$960.35	$2,400,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $35.77 / $389.40	Professional		$20.12	$35.77	$389.40