Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.98 / $112.40 / $1,428.12	Facility		$25.98	$112.40	$1,428.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.58 / $20.00 / $647.20	Professional		$10.58	$20.00	$647.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $157.97 / $486.00 / $876.00	Facility		$157.97	$486.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.40 / $150.00 / $258.75	Professional		$116.40	$150.00	$258.75
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 $204.44 / $255.54 / $255.55	Professional		$204.44	$255.54	$255.55
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 $298.00 / $484.00 / $764.00	Professional		$298.00	$484.00	$764.00
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 $10.58 / $10.58 / $437.72	Facility		$10.58	$10.58	$437.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $406.00 / $2,400,000.00 / $2,400,000.00	Professional		$406.00	$2,400,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $29.06 / $425.00	Professional		$20.12	$29.06	$425.00