Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.85 / $0.85 / $0.85	Facility		$0.85	$0.85	$0.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.82 / $0.85 / $0.87	Professional		$0.82	$0.85	$0.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.68 / $0.98 / $1.22	Facility		$0.68	$0.98	$1.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.86 / $1.04 / $1.80	Professional		$0.86	$1.04	$1.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $91.21 / $109.64 / $209.99	Facility		$91.21	$109.64	$209.99
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $100.00	Professional		$40.00	$40.00	$100.00
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 $56.29 / $56.29 / $56.29	Professional		$56.29	$56.29	$56.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $5.31 / $5.31 / $6.37	Professional		$5.31	$5.31	$6.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.84 / $638.07 / $801.00	Professional		$5.84	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $250.75 / $250.75	Facility		$80.00	$250.75	$250.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $60.62 / $141.37 / $141.37	Professional		$60.62	$141.37	$141.37
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 $0.82 / $0.87 / $1.24	Facility		$0.82	$0.87	$1.24
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 $0.85 / $0.94 / $1.45	Professional		$0.85	$0.94	$1.45
United Facility/Professional Professional Modifier Low / Median / High Price $3.30 / $3.30 / $113.83	Professional		$3.30	$3.30	$113.83