Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $1.11 / $84.48	Facility		$0.11	$1.11	$84.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.18 / $1.11	Professional		$0.11	$0.18	$1.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $39.00 / $39.00	Professional		$39.00	$39.00	$39.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.14 / $0.16 / $0.27	Facility		$0.14	$0.16	$0.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $0.18 / $0.36	Professional		$0.18	$0.18	$0.36
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $0.42 / $0.59 / $0.85	Facility		$0.42	$0.59	$0.85
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $0.45 / $0.97 / $1.46	Professional		$0.45	$0.97	$1.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $0.20 / $0.20	Professional		$0.20	$0.20	$0.20
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $0.39 / $0.43 / $0.53	Professional		$0.39	$0.43	$0.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.35 / $0.53 / $1.04	Professional		$0.35	$0.53	$1.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $0.79 / $80.00 / $85.00	Facility		$0.79	$80.00	$85.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1.94 / $1.94 / $2.93	Professional		$1.94	$1.94	$2.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.16 / $1.16 / $1.16	Professional		$1.16	$1.16	$1.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.28 / $0.39 / $0.53	Facility		$0.28	$0.39	$0.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $0.20 / $0.41	Professional		$0.20	$0.20	$0.41
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $0.72 / $0.72 / $0.72	Professional		$0.72	$0.72	$0.72
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.28 / $0.37	Professional		$0.28	$0.28	$0.37
United Facility/Professional Professional Modifier Low / Median / High Price $0.16 / $0.18 / $0.50	Professional		$0.16	$0.18	$0.50