Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.52 / $298.52 / $298.52	Facility		$298.52	$298.52	$298.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.18 / $320.39 / $320.39	Professional		$253.18	$320.39	$320.39
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 $135.00 / $206.56 / $650.00	Professional		$135.00	$206.56	$650.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $284.42 / $517.99	Facility		$98.20	$284.42	$517.99
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 $247.20 / $247.20 / $247.20	Facility		$247.20	$247.20	$247.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.76 / $205.76 / $205.76	Professional		$205.76	$205.76	$205.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $147.90 / $147.90 / $177.48	Professional		$147.90	$147.90	$177.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.69 / $638.07 / $801.00	Professional		$162.69	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $247.20	Facility		$100.00	$100.00	$247.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $284.89 / $284.89 / $284.89	Professional		$284.89	$284.89	$284.89
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 $272.33 / $320.39 / $444.24	Facility		$272.33	$320.39	$444.24
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 $147.90 / $162.69 / $251.43	Professional		$147.90	$162.69	$251.43
United Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $222.20 / $222.20	Professional		$45.00	$222.20	$222.20