Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.37 / $1.50 / $14.50	Facility		$1.37	$1.50	$14.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.39 / $2.23 / $14.05	Professional		$1.39	$2.23	$14.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $5.09 / $5.09	Professional		$5.09	$5.09	$5.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.84 / $2.22 / $5.86	Facility		$1.84	$2.22	$5.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $2.56 / $6.70	Professional		$2.56	$2.56	$6.70
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $5.30 / $6.89 / $10.64	Facility		$5.30	$6.89	$10.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $10.79 / $18.87	Professional		$2.72	$10.79	$18.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.73 / $3.06 / $4.00	Facility		$2.73	$3.06	$4.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.60 / $2.60 / $3.43	Professional		$2.60	$2.60	$3.43
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $0.31 / $0.37 / $5.52	Professional		$0.31	$0.37	$5.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.01 / $3.51 / $7.78	Professional		$3.01	$3.51	$7.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $80.00 / $80.00	Facility		$75.00	$80.00	$80.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $25.25 / $25.25 / $38.25	Professional		$25.25	$25.25	$38.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.31 / $15.31 / $15.31	Professional		$15.31	$15.31	$15.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.40 / $4.45 / $5.09	Facility		$1.40	$4.45	$5.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.60 / $3.06 / $4.78	Professional		$2.60	$3.06	$4.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $9.48 / $9.48 / $9.48	Professional		$9.48	$9.48	$9.48
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $0.21 / $0.36 / $4.01	Professional		$0.21	$0.36	$4.01
United Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.29 / $6.73	Professional		$2.00	$2.29	$6.73