Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $497.70 / $497.70 / $497.70	Facility		$497.70	$497.70	$497.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.63 / $229.63 / $497.70	Professional		$229.63	$229.63	$497.70
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 $485.17 / $487.65 / $500.00	Professional		$485.17	$487.65	$500.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $590.27 / $1,271.27	Facility		$97.00	$590.27	$1,271.27
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 $549.90 / $549.90 / $549.90	Professional		$549.90	$549.90	$549.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $488.74 / $488.74 / $586.49	Professional		$488.74	$488.74	$586.49
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 / $688.01	Facility		$100.00	$100.00	$688.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $761.40 / $761.40 / $761.40	Professional		$761.40	$761.40	$761.40
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 $229.63 / $254.89 / $870.98	Facility		$229.63	$254.89	$870.98
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 $488.74 / $537.61 / $830.86	Professional		$488.74	$537.61	$830.86
United Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $711.04 / $711.04	Professional		$45.00	$711.04	$711.04