Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.52 / $94.52 / $94.52	Facility		$94.52	$94.52	$94.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $94.52 / $522.40	Professional		$60.00	$94.52	$522.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.74 / $486.00 / $876.00	Facility		$223.74	$486.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.40 / $225.00 / $396.00	Professional		$191.40	$225.00	$396.00
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 $70.00 / $100.00 / $143.01	Professional		$70.00	$100.00	$143.01
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 $97.00 / $97.00 / $97.00	Professional		$97.00	$97.00	$97.00
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 $183.00 / $393.93 / $1,125.00	Professional		$183.00	$393.93	$1,125.00
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 $94.52 / $171.29 / $404.16	Facility		$94.52	$171.29	$404.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.00 / $97.00 / $2,400,000.00	Professional		$97.00	$97.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $29.06 / $237.60	Professional		$20.12	$29.06	$237.60