Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $719.19 / $719.19 / $764.40	Facility		$719.19	$719.19	$764.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $687.10 / $1,052.08 / $1,052.08	Professional		$687.10	$1,052.08	$1,052.08
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 $456.71 / $478.36 / $500.00	Professional		$456.71	$478.36	$500.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $928.70 / $1,664.17	Facility		$97.00	$928.70	$1,664.17
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $455.00 / $650.00 / $1,448.33	Professional		$455.00	$650.00	$1,448.33
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 $697.14 / $697.14 / $1,056.61	Professional		$697.14	$697.14	$1,056.61
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $686.54 / $686.54 / $823.85	Professional		$686.54	$686.54	$823.85
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 / $1,892.80	Facility		$100.00	$100.00	$1,892.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,463.01 / $1,463.01 / $1,463.01	Professional		$1,463.01	$1,463.01	$1,463.01
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 $687.10 / $1,052.08 / $1,546.26	Facility		$687.10	$1,052.08	$1,546.26
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 $686.54 / $755.19 / $1,167.11	Professional		$686.54	$755.19	$1,167.11
United Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $711.04 / $711.04	Professional		$45.00	$711.04	$711.04