Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $9.33 / $17.38	Facility		$9.33	$9.33	$17.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $8.32	Professional		$1.00	$1.00	$8.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $1.41 / $2.57	Professional		$1.23	$1.41	$2.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.78 / $0.98 / $2.45	Facility		$0.78	$0.98	$2.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.02 / $1.02 / $2.57	Professional		$1.02	$1.02	$2.57
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $3.16 / $4.57	Facility		$2.29	$3.16	$4.57
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $4.07 / $7.76	Professional		$2.40	$4.07	$7.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.12 / $1.51 / $1.55	Facility		$1.12	$1.51	$1.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $1.29 / $1.51	Professional		$1.29	$1.29	$1.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $2.40 / $2.95	Professional		$1.74	$2.40	$2.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $2.00 / $3.80	Professional		$1.32	$2.00	$3.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $85.11	Facility		$79.43	$79.43	$85.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $16.22 / $16.22	Professional		$12.59	$16.22	$16.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $3.72 / $3.72	Professional		$3.72	$3.72	$3.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.69 / $2.19 / $2.88	Facility		$0.69	$2.19	$2.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $1.29 / $2.40	Professional		$1.29	$1.29	$2.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.07 / $4.07	Professional		$4.07	$4.07	$4.07
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $3.24 / $6.31	Professional		$1.35	$3.24	$6.31
United Facility/Professional Facility Modifier Low / Median / High Price $0.18 / $0.93 / $1.35	Facility		$0.18	$0.93	$1.35
United Facility/Professional Professional Modifier Low / Median / High Price $0.95 / $1.10 / $2.19	Professional		$0.95	$1.10	$2.19