Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.38 / $50.38 / $297.00	Facility		$50.38	$50.38	$297.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.38 / $50.38 / $50.38	Professional		$50.38	$50.38	$50.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.86 / $171.91 / $876.00	Facility		$26.86	$171.91	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $30.60 / $46.86	Professional		$25.50	$30.60	$46.86
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $39.02 / $58.96 / $100.00	Facility		$39.02	$58.96	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.48 / $82.05 / $187.88	Facility		$18.48	$82.05	$187.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $99.00 / $99.00	Professional		$99.00	$99.00	$99.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $393.93	Professional		$393.93	$393.93	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $76.00 / $100.00 / $100.00	Facility		$76.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.38 / $50.38 / $146.47	Facility		$50.38	$50.38	$146.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,250,000.00 / $2,400,000.00 / $2,400,000.00	Professional		$2,250,000.00	$2,400,000.00	$2,400,000.00