Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.15 / $66.15 / $150.75	Facility		$66.15	$66.15	$150.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.81 / $115.50 / $636.79	Professional		$68.81	$115.50	$636.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $260.00 / $486.00 / $876.00	Facility		$260.00	$486.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.40 / $350.00 / $533.75	Professional		$191.40	$350.00	$533.75
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 $140.00 / $200.00 / $286.02	Professional		$140.00	$200.00	$286.02
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 $118.94 / $148.68 / $148.68	Professional		$118.94	$148.68	$148.68
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 $150.00 / $438.00 / $796.00	Professional		$150.00	$438.00	$796.00
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 $99.01 / $171.29 / $404.08	Facility		$99.01	$171.29	$404.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $182.00 / $2,400,000.00 / $2,400,000.00	Professional		$182.00	$2,400,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $35.77 / $237.60	Professional		$20.12	$35.77	$237.60