Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.28 / $69.29 / $69.29	Facility		$63.28	$69.29	$69.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.28 / $69.29 / $69.29	Professional		$63.28	$69.29	$69.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $45.80 / $53.88	Professional		$26.00	$45.80	$53.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.87 / $651.35 / $651.35	Professional		$182.87	$651.35	$651.35
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $35.00 / $42.00	Professional		$35.00	$35.00	$42.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $155.00 / $801.00	Professional		$48.00	$155.00	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $376.59	Facility		$100.00	$100.00	$376.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $272.97 / $272.97 / $272.97	Professional		$272.97	$272.97	$272.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $49.63 / $167.78	Professional		$32.34	$49.63	$167.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.28 / $69.29 / $86.61	Facility		$63.28	$69.29	$86.61
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