Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $876.05 / $876.05 / $876.05	Facility		$876.05	$876.05	$876.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $540.96 / $540.96 / $876.05	Professional		$540.96	$540.96	$876.05
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 $241.64 / $329.95 / $650.00	Professional		$241.64	$329.95	$650.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $633.16 / $981.86	Facility		$97.00	$633.16	$981.86
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 $920.40 / $920.40 / $920.40	Professional		$920.40	$920.40	$920.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $373.99 / $373.99 / $448.79	Professional		$373.99	$373.99	$448.79
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 / $991.20	Facility		$100.00	$100.00	$991.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,274.40 / $1,274.40 / $1,274.40	Professional		$1,274.40	$1,274.40	$1,274.40
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 $542.08 / $677.60 / $1,252.75	Facility		$542.08	$677.60	$1,252.75
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 $373.99 / $411.39 / $635.78	Professional		$373.99	$411.39	$635.78
United Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $747.40 / $747.40	Professional		$45.00	$747.40	$747.40