Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.03 / $0.24	Facility		$0.03	$0.03	$0.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.05 / $0.08	Professional		$0.03	$0.05	$0.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $8.00 / $8.00	Professional		$6.00	$8.00	$8.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.04 / $0.05 / $0.12	Facility		$0.04	$0.05	$0.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.05 / $0.07	Professional		$0.05	$0.05	$0.07
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.12 / $0.19	Facility		$0.10	$0.12	$0.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $0.07 / $0.18 / $0.31	Professional		$0.07	$0.18	$0.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.05 / $0.05 / $0.07	Facility		$0.05	$0.05	$0.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.04 / $0.04 / $0.08	Professional		$0.04	$0.04	$0.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $0.06 / $0.08 / $0.11	Professional		$0.06	$0.08	$0.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.07 / $0.14	Professional		$0.05	$0.07	$0.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $90.00 / $90.00	Facility		$75.00	$90.00	$90.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $5.30 / $5.52	Professional		$2.00	$5.30	$5.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.24 / $60.00	Professional		$0.12	$0.24	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.08 / $0.14	Facility		$0.03	$0.08	$0.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.04 / $0.04 / $0.09	Professional		$0.04	$0.04	$0.09
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.15 / $0.15	Professional		$0.15	$0.15	$0.15
United Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.04 / $0.08	Professional		$0.03	$0.04	$0.08