Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,574.00 / $2,647.80 / $4,168.00	Facility		$1,574.00	$2,647.80	$4,168.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,560.41 / $1,560.41 / $1,560.41	Professional		$1,560.41	$1,560.41	$1,560.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.00 / $486.00 / $876.00	Facility		$203.00	$486.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $298.00 / $317.00 / $330.00	Professional		$298.00	$317.00	$330.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $413.52 / $1,612.88	Facility		$92.60	$413.52	$1,612.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $632.77 / $1,393.34 / $3,605.00	Facility		$632.77	$1,393.34	$3,605.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $445.00 / $450.00 / $1,250.00	Professional		$445.00	$450.00	$1,250.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $429.56 / $429.56 / $429.56	Professional		$429.56	$429.56	$429.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $638.07 / $801.00	Professional		$393.93	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $100.00 / $1,655.05	Facility		$65.00	$100.00	$1,655.05
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 $632.77 / $1,560.41 / $3,544.00	Facility		$632.77	$1,560.41	$3,544.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $450.00 / $2,250,000.00 / $2,400,000.00	Professional		$450.00	$2,250,000.00	$2,400,000.00