Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.11 / $90.65 / $90.65	Facility		$6.11	$90.65	$90.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.06 / $80.06 / $90.65	Professional		$80.06	$80.06	$90.65
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 $92.60 / $121.98 / $239.52	Facility		$92.60	$121.98	$239.52
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 $101.34 / $101.34 / $101.34	Professional		$101.34	$101.34	$101.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $83.69 / $83.69 / $100.43	Professional		$83.69	$83.69	$100.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.06 / $638.07 / $801.00	Professional		$92.06	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $109.14	Facility		$100.00	$100.00	$109.14
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $175.50 / $175.50 / $175.50	Professional		$175.50	$175.50	$175.50
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 $80.06 / $80.06 / $129.63	Facility		$80.06	$80.06	$129.63
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 $83.69 / $92.06 / $142.27	Professional		$83.69	$92.06	$142.27
United Facility/Professional Professional Modifier Low / Median / High Price $45.80 / $79.29 / $79.29	Professional		$45.80	$79.29	$79.29