Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.19 / $278.77 / $278.77	Facility		$131.19	$278.77	$278.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.03 / $131.19 / $278.77	Professional		$85.03	$131.19	$278.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $357.00 / $1,294.00 / $1,610.00	Facility		$357.00	$1,294.00	$1,610.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.79 / $90.42 / $500.00	Professional		$72.79	$90.42	$500.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $138.11 / $283.08	Facility		$95.50	$138.11	$283.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $65.70 / $78.75 / $167.12	Professional		$65.70	$78.75	$167.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.90 / $130.90 / $130.90	Facility		$130.90	$130.90	$130.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.23 / $75.23 / $75.23	Professional		$75.23	$75.23	$75.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $69.50 / $69.50 / $83.40	Professional		$69.50	$69.50	$83.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.45 / $638.07 / $801.00	Professional		$76.45	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $540.32	Facility		$100.00	$100.00	$540.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $631.91 / $631.91 / $631.91	Professional		$631.91	$631.91	$631.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $157.94 / $188.38 / $375.92	Facility		$157.94	$188.38	$375.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,800,000.00 / $2,400,000.00 / $2,400,000.00	Professional		$1,800,000.00	$2,400,000.00	$2,400,000.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $69.50 / $76.45 / $118.15	Professional		$69.50	$76.45	$118.15
United Facility/Professional Professional Modifier Low / Median / High Price $44.64 / $45.00 / $89.89	Professional		$44.64	$45.00	$89.89