Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $763.39 / $1,965.73 / $5,361.69	Facility		$763.39	$1,965.73	$5,361.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $614.55 / $666.25 / $1,795.20	Professional		$614.55	$666.25	$1,795.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $260.00 / $842.56 / $3,287.31	Facility		$260.00	$842.56	$3,287.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $737.00 / $804.00 / $1,470.40	Professional		$737.00	$804.00	$1,470.40
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 $595.00 / $850.00 / $1,215.58	Professional		$595.00	$850.00	$1,215.58
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 $416.30 / $520.38 / $520.38	Professional		$416.30	$520.38	$520.38
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 / $1,500.00 / $2,373.00	Professional		$393.93	$1,500.00	$2,373.00
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 $500.00 / $657.14 / $1,919.83	Facility		$500.00	$657.14	$1,919.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $992.00 / $2,400,000.00 / $2,400,000.00	Professional		$992.00	$2,400,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $29.06 / $1,237.50	Professional		$20.12	$29.06	$1,237.50