Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.08 / $392.08 / $588.77	Facility		$392.08	$392.08	$588.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.15 / $171.15 / $392.08	Professional		$171.15	$171.15	$392.08
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 $379.73 / $391.82 / $650.00	Professional		$379.73	$391.82	$650.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $85.50 / $427.75 / $994.99	Facility		$85.50	$427.75	$994.99
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 $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.41 / $445.60 / $533.88	Professional		$88.41	$445.60	$533.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $277.02 / $277.02 / $332.44	Professional		$277.02	$277.02	$332.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $277.02 / $638.07 / $801.00	Professional		$277.02	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $324.14	Facility		$100.00	$100.00	$324.14
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $427.26 / $427.26 / $427.26	Professional		$427.26	$427.26	$427.26
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 $171.15 / $289.19 / $588.77	Facility		$171.15	$289.19	$588.77
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 $277.02 / $304.73 / $470.95	Professional		$277.02	$304.73	$470.95
United Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $431.39 / $699.93	Professional		$45.00	$431.39	$699.93