Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $327.57 / $843.49 / $2,577.13	Facility		$327.57	$843.49	$2,577.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.43 / $353.26 / $499.51	Professional		$336.43	$353.26	$499.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $260.00 / $579.79 / $876.00	Facility		$260.00	$579.79	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $1,014.42 / $1,947.00	Professional		$500.00	$1,014.42	$1,947.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $90.81 / $116.85 / $376.01	Facility		$90.81	$116.85	$376.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $250.00 / $357.53	Professional		$175.00	$250.00	$357.53
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 $168.50 / $210.63 / $210.63	Professional		$168.50	$210.63	$210.63
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 $280.00 / $589.00 / $1,901.00	Professional		$280.00	$589.00	$1,901.00
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 $171.29 / $369.44 / $481.11	Facility		$171.29	$369.44	$481.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $441.00 / $2,400,000.00 / $2,400,000.00	Professional		$441.00	$2,400,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $29.06 / $260.00	Professional		$20.12	$29.06	$260.00