Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.58 / $442.20 / $620.86	Facility		$10.58	$442.20	$620.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.72 / $308.72 / $620.86	Professional		$308.72	$308.72	$620.86
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 / $30.00	Professional		$30.00	$30.00	$30.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $666.92 / $1,073.64	Facility		$97.00	$666.92	$1,073.64
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 $515.52 / $515.52 / $515.52	Facility		$515.52	$515.52	$515.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $604.84 / $604.84 / $604.84	Professional		$604.84	$604.84	$604.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $441.03 / $441.03 / $529.24	Professional		$441.03	$441.03	$529.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $283.26 / $638.07 / $801.00	Professional		$283.26	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $1,750.61	Facility		$100.00	$100.00	$1,750.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $837.48 / $837.48 / $837.48	Professional		$837.48	$837.48	$837.48
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 $387.11 / $455.42 / $831.95	Facility		$387.11	$455.42	$831.95
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 $441.03 / $485.13 / $749.75	Professional		$441.03	$485.13	$749.75
United Facility/Professional Professional Modifier Low / Median / High Price $636.29 / $636.29 / $636.29	Professional		$636.29	$636.29	$636.29