Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.22 / $21.22 / $21.98	Professional		$21.22	$21.22	$21.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $202.41 / $293.00 / $876.00	Facility		$202.41	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.58 / $203.55 / $351.12	Professional		$7.58	$203.55	$351.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Professional		$0.02	$0.02	$0.02
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $99.00 / $99.00	Professional		$99.00	$99.00	$99.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $393.93	Professional		$393.93	$393.93	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $100.00	Facility		$90.00	$90.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.90 / $10.96 / $18.11	Facility		$7.90	$10.96	$18.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $2,400,000.00	Professional		$0.02	$0.02	$2,400,000.00