Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $966.63 / $2,782.08 / $6,364.80	Facility		$966.63	$2,782.08	$6,364.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $720.00 / $812.29 / $1,795.20	Professional		$720.00	$812.29	$1,795.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $260.00 / $742.82 / $954.81	Facility		$260.00	$742.82	$954.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $813.45 / $900.00 / $1,654.20	Professional		$813.45	$900.00	$1,654.20
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 $700.00 / $1,000.00 / $1,430.10	Professional		$700.00	$1,000.00	$1,430.10
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 $519.54 / $649.44 / $649.44	Professional		$519.54	$649.44	$649.44
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 / $1,837.00 / $2,702.00	Professional		$393.93	$1,837.00	$2,702.00
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 / $780.96 / $1,169.47	Facility		$171.29	$780.96	$1,169.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,164.00 / $2,400,000.00 / $2,400,000.00	Professional		$1,164.00	$2,400,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $29.06 / $1,347.50	Professional		$20.12	$29.06	$1,347.50