Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.80 / $57.80 / $730.40	Facility		$57.80	$57.80	$730.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.79 / $57.80 / $80.61	Professional		$57.79	$57.80	$80.61
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 $139.76 / $140.15 / $650.00	Professional		$139.76	$140.15	$650.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $85.50 / $220.52 / $409.75	Facility		$85.50	$220.52	$409.75
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 $179.95 / $179.95 / $179.95	Facility		$179.95	$179.95	$179.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.45 / $67.45 / $67.45	Professional		$67.45	$67.45	$67.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $129.66 / $129.66 / $155.59	Professional		$129.66	$129.66	$155.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $638.07 / $801.00	Professional		$142.63	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $318.24	Facility		$100.00	$100.00	$318.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $461.83 / $461.83 / $461.83	Professional		$461.83	$461.83	$461.83
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 $57.80 / $80.61 / $101.18	Facility		$57.80	$80.61	$101.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.45 / $67.45 / $1,800,000.00	Professional		$67.45	$67.45	$1,800,000.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $129.66 / $142.63 / $220.42	Professional		$129.66	$142.63	$220.42
United Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $93.09 / $202.00	Professional		$45.00	$93.09	$202.00