Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $4.47 / $8.91	Facility		$2.69	$4.47	$8.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $2.95 / $4.47	Professional		$1.00	$2.95	$4.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.02 / $1.02 / $61.66	Professional		$1.02	$1.02	$61.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.36 / $0.45 / $1.12	Facility		$0.36	$0.45	$1.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.50 / $0.50 / $1.12	Professional		$0.50	$0.50	$1.12
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $1.05 / $1.45 / $2.14	Facility		$1.05	$1.45	$2.14
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.82 / $3.16	Professional		$1.12	$1.82	$3.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.62 / $0.62 / $0.76	Facility		$0.62	$0.62	$0.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.52 / $0.52 / $0.62	Professional		$0.52	$0.52	$0.62
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $0.85 / $1.02 / $1.35	Professional		$0.85	$1.02	$1.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.93 / $1.05 / $2.00	Professional		$0.93	$1.05	$2.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Professional		$12.02	$12.02	$12.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $32.36 / $33.11	Professional		$1.51	$32.36	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.48 / $1.05 / $1.78	Facility		$0.48	$1.05	$1.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.52 / $0.52 / $1.02	Professional		$0.52	$0.52	$1.02
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1.91 / $1.91 / $1.91	Professional		$1.91	$1.91	$1.91
United Facility/Professional Facility Modifier Low / Median / High Price $0.07 / $0.43 / $0.68	Facility		$0.07	$0.43	$0.68
United Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.45 / $0.98	Professional		$0.36	$0.45	$0.98