Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.50 / $2.50 / $9.06	Facility		$2.50	$2.50	$9.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.50 / $2.50 / $9.06	Professional		$1.50	$2.50	$9.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.64 / $9.61	Facility		$3.02	$3.64	$9.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.65 / $2.61 / $4.20	Professional		$1.65	$2.61	$4.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $6.75 / $11.82	Professional		$1.70	$6.75	$11.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.89 / $1.89 / $2.49	Facility		$1.89	$1.89	$2.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.61 / $1.61 / $3.52	Professional		$1.61	$1.61	$3.52
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $3.14 / $3.77	Professional		$2.50	$3.14	$3.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $2.20 / $4.87	Professional		$1.88	$2.20	$4.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $90.00 / $90.00	Facility		$80.00	$90.00	$90.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15.64 / $15.64 / $23.55	Professional		$15.64	$15.64	$23.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.43 / $6.43 / $6.43	Professional		$6.43	$6.43	$6.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.31 / $3.14 / $3.61	Facility		$2.31	$3.14	$3.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.61 / $1.61 / $2.34	Professional		$1.61	$1.61	$2.34
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $5.92 / $5.92	Professional		$5.92	$5.92	$5.92
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $3.68 / $4.78	Professional		$2.50	$3.68	$4.78
United Facility/Professional Professional Modifier Low / Median / High Price $1.25 / $1.57 / $3.18	Professional		$1.25	$1.57	$3.18