Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.79 / $2.06 / $2.38	Facility		$1.79	$2.06	$2.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.69 / $2.06 / $2.70	Professional		$1.69	$2.06	$2.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $2.10 / $2.10	Professional		$2.10	$2.10	$2.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.38 / $4.72 / $4.72	Facility		$4.38	$4.72	$4.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $4.05 / $7.61	Professional		$1.70	$4.05	$7.61
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $39.70 / $350.60 / $902.60	Facility		$39.70	$350.60	$902.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $2.36 / $3.96	Professional		$1.81	$2.36	$3.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.37 / $5.00	Professional		$2.00	$2.37	$5.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1.84 / $2.40 / $3.92	Professional		$1.84	$2.40	$3.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.91 / $2.59 / $4.50	Professional		$1.91	$2.59	$4.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4.09 / $6.82 / $75.00	Facility		$4.09	$6.82	$75.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13.20 / $13.20 / $21.00	Professional		$13.20	$13.20	$21.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.25 / $32.34 / $32.34	Professional		$3.25	$32.34	$32.34
Optum Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.49 / $4.80	Professional		$2.00	$2.49	$4.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.20 / $2.62 / $3.48	Facility		$2.20	$2.62	$3.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.25 / $5.05	Professional		$2.00	$2.25	$5.05
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.49 / $5.25	Professional		$2.02	$2.49	$5.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $2.63 / $3.21	Professional		$2.34	$2.63	$3.21
United Facility/Professional Facility Modifier Low / Median / High Price $2.68 / $2.68 / $2.68	Facility		$2.68	$2.68	$2.68
United Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $2.47 / $7.74	Professional		$1.75	$2.47	$7.74