Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,194.00 / $1,194.00 / $1,194.00	Facility		$1,194.00	$1,194.00	$1,194.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $973.77 / $973.77 / $1,194.00	Professional		$973.77	$973.77	$1,194.00
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 $20.39 / $20.39 / $30.00	Professional		$20.39	$20.39	$30.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $99.00 / $2,062.41 / $3,682.88	Facility		$99.00	$2,062.41	$3,682.88
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.74 / $644.74 / $644.74	Facility		$644.74	$644.74	$644.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.99 / $175.99 / $175.99	Professional		$175.99	$175.99	$175.99
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,387.55 / $1,387.55 / $1,665.06	Professional		$1,387.55	$1,387.55	$1,665.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $283.26 / $638.07 / $1,387.55	Professional		$283.26	$638.07	$1,387.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $2,518.77	Facility		$100.00	$100.00	$2,518.77
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,420.02 / $1,420.02 / $1,420.02	Professional		$1,420.02	$1,420.02	$1,420.02
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 $973.77 / $1,087.21 / $2,317.57	Facility		$973.77	$1,087.21	$2,317.57
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 $1,387.55 / $1,526.31 / $2,358.84	Professional		$1,387.55	$1,526.31	$2,358.84