Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $475.00 / $1,157.00 / $3,546.00	Facility		$475.00	$1,157.00	$3,546.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.16 / $400.00 / $475.00	Professional		$280.16	$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 $311.38 / $311.38 / $627.89	Professional		$311.38	$311.38	$627.89
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 $344.35 / $344.35 / $344.35	Professional		$344.35	$344.35	$344.35
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 $1,845.78 / $1,845.78 / $1,845.78	Professional		$1,845.78	$1,845.78	$1,845.78
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 $280.16 / $425.00 / $760.75	Facility		$280.16	$425.00	$760.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $344.35 / $344.35 / $1,800,000.00	Professional		$344.35	$344.35	$1,800,000.00