Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.20 / $713.60 / $1,069.59	Professional		$43.20	$713.60	$1,069.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.66 / $249.30 / $876.00	Facility		$52.66	$249.30	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.82 / $36.82 / $83.34	Professional		$36.82	$36.82	$83.34
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $18.57 / $41.45 / $129.62	Facility		$18.57	$41.45	$129.62
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $51.75 / $52.08 / $73.70	Professional		$51.75	$52.08	$73.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.58 / $59.74 / $130.55	Facility		$33.58	$59.74	$130.55
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 $393.93 / $393.93 / $1,619.00	Professional		$393.93	$393.93	$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 $35.24 / $59.74 / $130.88	Facility		$35.24	$59.74	$130.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,400,000.00 / $2,400,000.00 / $2,400,000.00	Professional		$2,400,000.00	$2,400,000.00	$2,400,000.00