Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $7.59 / $7.59	Facility		$7.59	$7.59	$7.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $7.59	Professional		$1.00	$1.00	$7.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.74 / $1.74	Professional		$1.74	$1.74	$1.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.59 / $0.74 / $1.86	Facility		$0.59	$0.74	$1.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.79 / $0.79 / $2.09	Professional		$0.79	$0.79	$2.09
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $1.86 / $2.57 / $3.80	Facility		$1.86	$2.57	$3.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $3.24 / $6.31	Professional		$2.04	$3.24	$6.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.89 / $0.89 / $0.89	Professional		$0.89	$0.89	$0.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $1.95 / $2.40	Professional		$1.78	$1.95	$2.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $2.04 / $4.07	Professional		$1.62	$2.04	$4.07
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 $8.71 / $13.18 / $13.18	Professional		$8.71	$13.18	$13.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.74 / $1.74	Professional		$1.74	$1.74	$1.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.07 / $1.78 / $2.45	Facility		$1.07	$1.78	$2.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.89 / $0.89 / $1.70	Professional		$0.89	$0.89	$1.70
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $3.31 / $3.31	Professional		$3.31	$3.31	$3.31
United Facility/Professional Professional Modifier Low / Median / High Price $0.68 / $0.79 / $1.74	Professional		$0.68	$0.79	$1.74