Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $184.32 / $184.32	Facility		$20.00	$184.32	$184.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.58 / $20.00 / $191.76	Professional		$10.58	$20.00	$191.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.33 / $249.30 / $876.00	Facility		$26.33	$249.30	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $112.80 / $220.80	Professional		$25.00	$112.80	$220.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $84.84 / $115.56 / $219.82	Facility		$84.84	$115.56	$219.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $150.00 / $214.52	Professional		$105.00	$150.00	$214.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.83 / $74.17 / $180.59	Facility		$36.83	$74.17	$180.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $23.75 / $23.75	Professional		$19.00	$23.75	$23.75
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 $66.00 / $182.00 / $408.00	Professional		$66.00	$182.00	$408.00
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 / $145.85	Facility		$10.58	$10.58	$145.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $2,400,000.00 / $2,400,000.00	Professional		$48.00	$2,400,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $29.06 / $82.50	Professional		$20.12	$29.06	$82.50