Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $6.92 / $141.25	Facility		$6.92	$6.92	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $3.24 / $6.92	Professional		$1.00	$3.24	$6.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.38 / $3.72	Professional		$1.12	$1.38	$3.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.54 / $0.68 / $1.70	Facility		$0.54	$0.68	$1.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.72 / $0.72 / $1.91	Professional		$0.72	$0.72	$1.91
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $1.70 / $2.34 / $3.47	Facility		$1.70	$2.34	$3.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $3.02 / $5.75	Professional		$1.86	$3.02	$5.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.81 / $0.81 / $0.81	Professional		$0.81	$0.81	$0.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $1.82 / $2.19	Professional		$1.62	$1.82	$2.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.95 / $4.37	Professional		$1.00	$1.95	$4.37
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 $7.94 / $12.02 / $12.02	Professional		$7.94	$12.02	$12.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $1.62 / $1.62	Professional		$1.62	$1.62	$1.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.62 / $2.29	Facility		$1.00	$1.62	$2.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.81 / $0.81 / $1.58	Professional		$0.81	$0.81	$1.58
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $3.02	Professional		$3.02	$3.02	$3.02
United Facility/Professional Professional Modifier Low / Median / High Price $0.62 / $0.72 / $1.58	Professional		$0.62	$0.72	$1.58