Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $475.00 / $1,197.08 / $3,894.00	Facility		$475.00	$1,197.08	$3,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $400.00 / $475.00	Professional		$250.00	$400.00	$475.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.00 / $614.00 / $2,393.00	Facility		$203.00	$614.00	$2,393.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $311.01 / $311.01 / $636.79	Professional		$311.01	$311.01	$636.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $570.79 / $1,286.92	Facility		$97.00	$570.79	$1,286.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.95 / $675.68 / $3,605.00	Facility		$278.95	$675.68	$3,605.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $390.00 / $390.00 / $1,164.08	Professional		$390.00	$390.00	$1,164.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $191.79 / $191.79 / $191.79	Professional		$191.79	$191.79	$191.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $385.00 / $389.34 / $393.93	Professional		$385.00	$389.34	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,520.96 / $2,647.01	Facility		$100.00	$2,520.96	$2,647.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,432.72 / $1,432.72 / $1,432.72	Professional		$1,432.72	$1,432.72	$1,432.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $60.00 / $85.00	Professional		$30.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $425.00 / $760.75	Facility		$250.00	$425.00	$760.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,800,000.00 / $2,250,000.00 / $2,400,000.00	Professional		$1,800,000.00	$2,250,000.00	$2,400,000.00