Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $450.67 / $1,183.33 / $3,089.30	Facility		$450.67	$1,183.33	$3,089.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $360.00 / $450.67 / $857.17	Professional		$360.00	$450.67	$857.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $260.00 / $876.00 / $3,287.31	Facility		$260.00	$876.00	$3,287.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $799.00 / $900.00 / $1,581.86	Professional		$799.00	$900.00	$1,581.86
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $90.81 / $122.24 / $1,646.04	Facility		$90.81	$122.24	$1,646.04
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $455.00 / $650.00 / $929.57	Professional		$455.00	$650.00	$929.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.10 / $1,160.94 / $2,472.19	Facility		$48.10	$1,160.94	$2,472.19
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 $393.93 / $900.00 / $1,531.00	Professional		$393.93	$900.00	$1,531.00
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 $360.00 / $519.54 / $1,919.83	Facility		$360.00	$519.54	$1,919.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $730.00 / $2,400,000.00 / $2,400,000.00	Professional		$730.00	$2,400,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $29.06 / $272.25	Professional		$20.12	$29.06	$272.25