Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $490.31 / $524.15 / $603.50	Facility		$490.31	$524.15	$603.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.15 / $585.04 / $603.50	Professional		$524.15	$585.04	$603.50
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 / $853.68 / $1,814.21	Facility		$97.00	$853.68	$1,814.21
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 $603.87 / $603.87 / $603.87	Facility		$603.87	$603.87	$603.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $654.80 / $654.80 / $1,000.73	Professional		$654.80	$654.80	$1,000.73
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $417.71 / $417.71 / $501.25	Professional		$417.71	$417.71	$501.25
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 / $1,077.71	Facility		$100.00	$100.00	$1,077.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,385.62 / $1,385.62 / $1,385.62	Professional		$1,385.62	$1,385.62	$1,385.62
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 $524.15 / $585.04 / $1,054.17	Facility		$524.15	$585.04	$1,054.17
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 $417.71 / $459.48 / $710.11	Professional		$417.71	$459.48	$710.11
United Facility/Professional Professional Modifier Low / Median / High Price $683.77 / $683.77 / $683.77	Professional		$683.77	$683.77	$683.77