Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.23 / $102.23 / $1,500.75	Facility		$102.23	$102.23	$1,500.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.23 / $102.23 / $104.69	Professional		$102.23	$102.23	$104.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.03 / $121.48 / $205.54	Facility		$102.03	$121.48	$205.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.69 / $109.92 / $201.00	Professional		$104.69	$109.92	$201.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $40.70 / $40.70 / $61.05	Professional		$40.70	$40.70	$61.05
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 $104.69 / $178.60 / $178.60	Facility		$104.69	$178.60	$178.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $270.97 / $270.97 / $270.97	Professional		$270.97	$270.97	$270.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.77 / $60.00 / $85.00	Professional		$44.77	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.23 / $104.69 / $282.14	Facility		$102.23	$104.69	$282.14
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 $40.70 / $40.70 / $52.91	Professional		$40.70	$40.70	$52.91