Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $475.00 / $1,369.53 / $3,546.00	Facility		$475.00	$1,369.53	$3,546.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.75 / $418.35 / $475.00	Professional		$318.75	$418.35	$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 $636.79 / $636.79 / $4,457.60	Professional		$636.79	$636.79	$4,457.60
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $900.73 / $2,030.83	Facility		$97.00	$900.73	$2,030.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $412.15 / $998.29 / $3,605.00	Facility		$412.15	$998.29	$3,605.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,344.54 / $1,344.54 / $1,344.54	Professional		$1,344.54	$1,344.54	$1,344.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $283.74 / $283.74 / $283.74	Professional		$283.74	$283.74	$283.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $660.00 / $660.00	Professional		$638.07	$660.00	$660.00
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 $1,654.82 / $1,654.82 / $1,654.82	Professional		$1,654.82	$1,654.82	$1,654.82
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 $318.75 / $425.00 / $1,064.00	Facility		$318.75	$425.00	$1,064.00
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