Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $817.27 / $1,644.16 / $1,667.96	Facility		$817.27	$1,644.16	$1,667.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $617.41 / $617.41 / $1,266.27	Professional		$617.41	$617.41	$1,266.27
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 $500.00 / $500.00 / $500.00	Professional		$500.00	$500.00	$500.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,223.98 / $2,268.91	Facility		$97.00	$1,223.98	$2,268.91
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 $744.63 / $744.63 / $744.63	Professional		$744.63	$744.63	$744.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $645.94 / $645.94 / $775.13	Professional		$645.94	$645.94	$775.13
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 / $874.60	Facility		$100.00	$100.00	$874.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,031.02 / $1,031.02 / $1,031.02	Professional		$1,031.02	$1,031.02	$1,031.02
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 $617.41 / $617.41 / $1,644.16	Facility		$617.41	$617.41	$1,644.16
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 $645.94 / $710.53 / $1,098.09	Professional		$645.94	$710.53	$1,098.09
United Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $1,080.70 / $1,080.70	Professional		$45.00	$1,080.70	$1,080.70