Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.23 / $2.52 / $13.20	Facility		$0.23	$2.52	$13.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.25 / $0.27 / $2.38	Professional		$0.25	$0.27	$2.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $84.00 / $84.00	Professional		$84.00	$84.00	$84.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.28 / $0.34 / $0.56	Facility		$0.28	$0.34	$0.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.38 / $0.38 / $0.82	Professional		$0.38	$0.38	$0.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $0.90 / $1.27 / $1.82	Facility		$0.90	$1.27	$1.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1.02 / $2.22 / $3.31	Professional		$1.02	$2.22	$3.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.45 / $0.45 / $0.45	Professional		$0.45	$0.45	$0.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $0.88 / $0.97 / $1.19	Professional		$0.88	$0.97	$1.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.79 / $1.13 / $2.35	Professional		$0.79	$1.13	$2.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1.79 / $80.00 / $85.00	Facility		$1.79	$80.00	$85.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4.38 / $4.38 / $6.60	Professional		$4.38	$4.38	$6.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.80 / $1.80 / $1.80	Professional		$1.80	$1.80	$1.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.61 / $0.88 / $1.19	Facility		$0.61	$0.88	$1.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.45 / $0.45 / $0.93	Professional		$0.45	$0.45	$0.93
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1.65 / $1.65 / $1.65	Professional		$1.65	$1.65	$1.65
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.66 / $0.79	Professional		$0.60	$0.66	$0.79
United Facility/Professional Professional Modifier Low / Median / High Price $0.35 / $0.38 / $1.61	Professional		$0.35	$0.38	$1.61