Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.00 / $1.00	Facility		$1.00	$1.00	$1.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $2.00 / $2.00	Professional		$1.00	$2.00	$2.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $1.70 / $141.25	Professional		$1.07	$1.70	$141.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.72 / $4.37 / $18.62	Facility		$3.72	$4.37	$18.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $3.72 / $7.24	Professional		$2.82	$3.72	$7.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $8.51 / $14.45	Professional		$5.62	$8.51	$14.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $3.55 / $3.55	Professional		$3.55	$3.55	$3.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.12 / $0.14	Professional		$0.12	$0.12	$0.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.01 / $7.94	Professional		$3.98	$5.01	$7.94
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 $22.91 / $22.91 / $23.99	Professional		$22.91	$22.91	$23.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Professional		$14.13	$14.13	$14.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.66 / $3.47 / $5.62	Facility		$1.66	$3.47	$5.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $3.55 / $3.55	Professional		$3.55	$3.55	$3.55
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.12 / $0.15	Professional		$0.10	$0.12	$0.15
United Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $1.74 / $3.47	Professional		$1.07	$1.74	$3.47