Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.15 / $21.15 / $21.15	Facility		$21.15	$21.15	$21.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.38 / $21.15 / $21.66	Professional		$20.38	$21.15	$21.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.53 / $18.48 / $31.28	Facility		$15.53	$18.48	$31.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.93 / $16.88 / $29.94	Professional		$15.93	$16.88	$29.94
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $15.48 / $21.73 / $31.16	Facility		$15.48	$21.73	$31.16
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $97.51	Professional		$40.00	$40.00	$97.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $9.00 / $13.50	Professional		$9.00	$9.00	$13.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $393.93 / $801.00	Professional		$105.00	$393.93	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $100.00 / $100.00	Facility		$80.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $96.82 / $96.82 / $114.66	Professional		$96.82	$96.82	$114.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $60.00 / $85.00	Professional		$9.90	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.38 / $21.66 / $47.38	Facility		$20.38	$21.66	$47.38
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
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $9.00 / $11.70	Professional		$9.00	$9.00	$11.70
United Facility/Professional Professional Modifier Low / Median / High Price $62.56 / $62.56 / $62.56	Professional		$62.56	$62.56	$62.56