Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.00 / $556.20 / $1,600.56	Facility		$216.00	$556.20	$1,600.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.00 / $216.00 / $1,120.00	Professional		$216.00	$216.00	$1,120.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.74 / $570.00 / $1,459.21	Facility		$223.74	$570.00	$1,459.21
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 / $122.24 / $742.61	Facility		$90.81	$122.24	$742.61
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 / $316.01 / $926.35	Facility		$48.10	$316.01	$926.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.00 / $374.00 / $374.00	Professional		$374.00	$374.00	$374.00
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 $282.00 / $525.00 / $823.00	Professional		$282.00	$525.00	$823.00
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 $181.94 / $273.45 / $663.35	Facility		$181.94	$273.45	$663.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $374.00 / $2,400,000.00 / $2,400,000.00	Professional		$374.00	$2,400,000.00	$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