Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.81 / $46.81 / $46.81	Facility		$46.81	$46.81	$46.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.81 / $46.81 / $46.81	Professional		$46.81	$46.81	$46.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.00 / $486.00 / $876.00	Facility		$203.00	$486.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.08 / $25.20 / $29.43	Professional		$11.08	$25.20	$29.43
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $35.70 / $48.90 / $76.17	Professional		$35.70	$48.90	$76.17
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 $30.98 / $30.98 / $30.98	Professional		$30.98	$30.98	$30.98
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 $90.00 / $100.00 / $100.00	Facility		$90.00	$100.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.81 / $46.81 / $61.00	Facility		$46.81	$46.81	$61.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.98 / $2,250,000.00 / $2,400,000.00	Professional		$30.98	$2,250,000.00	$2,400,000.00