Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.38 / $148.38 / $148.38	Facility		$148.38	$148.38	$148.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $148.38 / $148.38	Professional		$80.00	$148.38	$148.38
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 $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 $110.50 / $110.50 / $110.50	Professional		$110.50	$110.50	$110.50
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 $188.00 / $393.93 / $1,157.00	Professional		$188.00	$393.93	$1,157.00
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 $94.96 / $148.38 / $411.48	Facility		$94.96	$148.38	$411.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $110.50 / $2,400,000.00 / $2,400,000.00	Professional		$110.50	$2,400,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $29.06 / $35.77	Professional		$20.12	$29.06	$35.77