Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.66 / $131.09 / $340.52	Facility		$60.66	$131.09	$340.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.50 / $60.66 / $72.79	Professional		$47.50	$60.66	$72.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.28 / $65.23 / $74.68	Facility		$53.28	$65.23	$74.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.91 / $62.13 / $129.22	Professional		$60.91	$62.13	$129.22
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $84.80 / $100.00 / $170.72	Facility		$84.80	$100.00	$170.72
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $65.78 / $67.75 / $146.03	Professional		$65.78	$67.75	$146.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.36 / $115.45 / $161.15	Professional		$70.36	$115.45	$161.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $69.02 / $69.02 / $93.18	Professional		$69.02	$69.02	$93.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.77 / $638.07 / $801.00	Professional		$257.77	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $101.53 / $381.00 / $381.00	Facility		$101.53	$381.00	$381.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $342.83 / $342.83 / $446.93	Professional		$342.83	$342.83	$446.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $140.28 / $140.28	Professional		$60.00	$140.28	$140.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.01 / $65.91 / $91.68	Facility		$58.01	$65.91	$91.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $76.14 / $1,800,000.00 / $2,400,000.00	Professional		$76.14	$1,800,000.00	$2,400,000.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $64.56 / $83.93 / $96.84	Professional		$64.56	$83.93	$96.84
United Facility/Professional Professional Modifier Low / Median / High Price $73.09 / $73.09 / $135.22	Professional		$73.09	$73.09	$135.22