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 $237.07 / $400.00 / $475.00	Professional		$237.07	$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 $453.51 / $453.51 / $1,018.75	Professional		$453.51	$453.51	$1,018.75
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $603.79 / $1,657.43	Facility		$98.20	$603.79	$1,657.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.45 / $459.13 / $3,605.00	Facility		$205.45	$459.13	$3,605.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $440.00 / $440.00 / $889.64	Professional		$440.00	$440.00	$889.64
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $142.37 / $142.37 / $142.37	Professional		$142.37	$142.37	$142.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $330.00 / $427.19 / $525.00	Professional		$330.00	$427.19	$525.00
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 $1,094.94 / $1,094.94 / $1,094.94	Professional		$1,094.94	$1,094.94	$1,094.94
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 $237.07 / $400.00 / $731.50	Facility		$237.07	$400.00	$731.50
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