Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.38 / $3.38 / $4.93	Facility		$3.38	$3.38	$4.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.91 / $3.38 / $4.93	Professional		$0.91	$3.38	$4.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $1.07 / $1.07	Professional		$1.07	$1.07	$1.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.58 / $6.65 / $11.25	Facility		$5.58	$6.65	$11.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.42 / $1.42 / $8.44	Professional		$1.42	$1.42	$8.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $17.69 / $24.84 / $35.61	Facility		$17.69	$24.84	$35.61
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1.98 / $3.78 / $6.14	Professional		$1.98	$3.78	$6.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.03 / $1.03 / $1.03	Professional		$1.03	$1.03	$1.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1.42 / $1.56 / $1.92	Professional		$1.42	$1.56	$1.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.92 / $7.00	Professional		$1.00	$1.92	$7.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $12.01 / $80.00 / $85.00	Facility		$12.01	$80.00	$85.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $38.01 / $51.44 / $51.44	Professional		$38.01	$51.44	$51.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.42 / $1.49 / $15.81	Facility		$1.42	$1.49	$15.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.78 / $1.03 / $1.03	Professional		$0.78	$1.03	$1.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $3.22 / $3.22	Professional		$3.22	$3.22	$3.22
United Facility/Professional Professional Modifier Low / Median / High Price $0.85 / $1.44 / $9.05	Professional		$0.85	$1.44	$9.05