Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.21 / $385.57 / $385.57	Facility		$224.21	$385.57	$385.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.21 / $412.43 / $412.43	Professional		$224.21	$412.43	$412.43
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 $30.00 / $30.00 / $159.25	Professional		$30.00	$30.00	$159.25
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $215.37 / $568.91	Facility		$97.00	$215.37	$568.91
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 $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.18 / $73.18 / $73.18	Professional		$73.18	$73.18	$73.18
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $139.94 / $139.94 / $167.93	Professional		$139.94	$139.94	$167.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $153.93 / $638.07 / $801.00	Professional		$153.93	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $240.57	Facility		$100.00	$100.00	$240.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $168.32 / $168.32 / $168.32	Professional		$168.32	$168.32	$168.32
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 $224.21 / $412.43 / $502.23	Facility		$224.21	$412.43	$502.23
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 $139.94 / $153.93 / $237.90	Professional		$139.94	$153.93	$237.90
United Facility/Professional Professional Modifier Low / Median / High Price $128.47 / $174.73 / $174.73	Professional		$128.47	$174.73	$174.73