Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.27 / $0.28 / $6.80	Facility		$0.27	$0.28	$6.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.57 / $2.10	Professional		$0.28	$0.57	$2.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.02 / $1.02 / $1.02	Professional		$1.02	$1.02	$1.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.35 / $0.42 / $1.10	Facility		$0.35	$0.42	$1.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.50 / $0.50 / $0.95	Professional		$0.50	$0.50	$0.95
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $1.05 / $1.37 / $2.12	Facility		$1.05	$1.37	$2.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $2.27 / $3.85	Professional		$0.80	$2.27	$3.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.61 / $0.61 / $0.80	Facility		$0.61	$0.61	$0.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.52 / $0.52 / $0.72	Professional		$0.52	$0.52	$0.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $0.85 / $1.02 / $1.22	Professional		$0.85	$1.02	$1.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.66 / $1.02 / $2.00	Professional		$0.66	$1.02	$2.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $77.50 / $90.00 / $90.00	Facility		$77.50	$90.00	$90.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11.90 / $11.90 / $11.90	Professional		$11.90	$11.90	$11.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.50 / $32.34 / $32.34	Professional		$1.50	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.32 / $1.02 / $1.45	Facility		$0.32	$1.02	$1.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.52 / $0.61 / $1.11	Professional		$0.52	$0.61	$1.11
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1.92 / $1.92 / $1.92	Professional		$1.92	$1.92	$1.92
United Facility/Professional Professional Modifier Low / Median / High Price $0.39 / $0.43 / $1.02	Professional		$0.39	$0.43	$1.02