Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.72 / $206.72 / $1,736.45	Facility		$206.72	$206.72	$1,736.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.72 / $206.72 / $206.72	Professional		$206.72	$206.72	$206.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.81 / $306.00 / $400.00	Professional		$51.81	$306.00	$400.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $48.24 / $53.60 / $130.66	Professional		$48.24	$53.60	$130.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $794.81 / $794.81 / $953.77	Professional		$794.81	$794.81	$953.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $393.93	Professional		$393.93	$393.93	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $100.00 / $100.00	Facility		$80.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Professional		$85.00	$85.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $206.72 / $206.72 / $296.08	Facility		$206.72	$206.72	$296.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,250,000.00 / $2,250,000.00 / $2,250,000.00	Professional		$2,250,000.00	$2,250,000.00	$2,250,000.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $794.81 / $874.29 / $1,351.18	Professional		$794.81	$874.29	$1,351.18