Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.08 / $287.08 / $287.08	Facility		$287.08	$287.08	$287.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.71 / $248.71 / $287.08	Professional		$248.71	$248.71	$287.08
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 $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $367.11 / $839.69	Facility		$97.00	$367.11	$839.69
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 $404.08 / $404.08 / $404.08	Facility		$404.08	$404.08	$404.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $324.56 / $324.56 / $324.56	Professional		$324.56	$324.56	$324.56
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $347.23 / $347.23 / $416.68	Professional		$347.23	$347.23	$416.68
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 / $404.08	Facility		$100.00	$100.00	$404.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $449.39 / $449.39 / $449.39	Professional		$449.39	$449.39	$449.39
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 $248.71 / $287.08 / $591.92	Facility		$248.71	$287.08	$591.92
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 $347.23 / $381.95 / $590.29	Professional		$347.23	$381.95	$590.29
United Facility/Professional Professional Modifier Low / Median / High Price $197.62 / $197.62 / $699.93	Professional		$197.62	$197.62	$699.93