Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $7.24 / $7.24	Facility		$7.24	$7.24	$7.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $7.24	Professional		$1.00	$1.00	$7.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.66 / $1.66 / $1.66	Professional		$1.66	$1.66	$1.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.56 / $0.71 / $1.78	Facility		$0.56	$0.71	$1.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.76 / $0.76 / $2.00	Professional		$0.76	$0.76	$2.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $1.78 / $2.45 / $3.55	Facility		$1.78	$2.45	$3.55
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $3.09 / $6.03	Professional		$1.95	$3.09	$6.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.85 / $0.85 / $0.85	Professional		$0.85	$0.85	$0.85
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $1.86 / $2.29	Professional		$1.70	$1.86	$2.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.86 / $3.89	Professional		$1.00	$1.86	$3.89
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 $12.59 / $12.59 / $18.20	Professional		$12.59	$12.59	$18.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $2.45 / $2.45	Professional		$2.45	$2.45	$2.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.02 / $1.70 / $2.40	Facility		$1.02	$1.70	$2.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.85 / $0.85 / $1.62	Professional		$0.85	$0.85	$1.62
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $3.16 / $3.16	Professional		$3.16	$3.16	$3.16
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.62 / $2.51	Professional		$1.35	$1.62	$2.51
United Facility/Professional Professional Modifier Low / Median / High Price $0.65 / $0.76 / $1.66	Professional		$0.65	$0.76	$1.66