Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $171.96 / $171.96	Professional		$134.90	$171.96	$171.96
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 / $307.05 / $650.00	Professional		$135.00	$307.05	$650.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $179.99 / $736.55	Facility		$97.00	$179.99	$736.55
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 $354.90 / $354.90 / $354.90	Professional		$354.90	$354.90	$354.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $218.81 / $218.81 / $262.57	Professional		$218.81	$218.81	$262.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $240.69 / $638.07 / $801.00	Professional		$240.69	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $527.94	Facility		$100.00	$100.00	$527.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $491.40 / $491.40 / $491.40	Professional		$491.40	$491.40	$491.40
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 $134.90 / $171.96 / $285.44	Facility		$134.90	$171.96	$285.44
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 $218.81 / $240.69 / $371.98	Professional		$218.81	$240.69	$371.98
United Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $699.93 / $699.93	Professional		$45.00	$699.93	$699.93