Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.00 / $38.02	Facility		$2.00	$2.00	$38.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $5.01 / $33.11	Professional		$2.00	$5.01	$33.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $8.51 / $8.71	Professional		$6.46	$8.51	$8.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.24 / $4.07 / $10.23	Facility		$3.24	$4.07	$10.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $4.57 / $9.55	Professional		$4.37	$4.57	$9.55
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $12.59 / $18.20	Facility		$9.12	$12.59	$18.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $16.22 / $30.90	Professional		$9.55	$16.22	$30.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $5.25 / $6.17	Facility		$5.01	$5.25	$6.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $4.47 / $5.25	Professional		$4.47	$4.47	$5.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $9.12 / $12.02	Professional		$7.08	$9.12	$12.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $7.94 / $15.49	Professional		$5.62	$7.94	$15.49
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 $43.65 / $64.57 / $64.57	Professional		$43.65	$64.57	$64.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $12.59	Professional		$12.59	$12.59	$12.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.51 / $8.32 / $11.48	Facility		$2.51	$8.32	$11.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $4.47 / $8.51	Professional		$4.47	$4.47	$8.51
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Professional		$16.22	$16.22	$16.22
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $11.22 / $17.38	Professional		$7.08	$11.22	$17.38
United Facility/Professional Facility Modifier Low / Median / High Price $0.62 / $3.31 / $3.98	Facility		$0.62	$3.31	$3.98
United Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $3.89 / $8.71	Professional		$3.31	$3.89	$8.71