Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.43 / $14.46 / $44.37	Facility		$9.43	$14.46	$44.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.42 / $9.43 / $574.40	Professional		$9.42	$9.43	$574.40
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 $209.95 / $209.95 / $209.95	Professional		$209.95	$209.95	$209.95
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 $268.00 / $498.00 / $1,619.00	Professional		$268.00	$498.00	$1,619.00
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 $7.54 / $9.43 / $411.48	Facility		$7.54	$9.43	$411.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $209.95 / $209.95 / $2,400,000.00	Professional		$209.95	$209.95	$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