Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.14 / $171.95 / $552.72	Facility		$0.14	$171.95	$552.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.69 / $344.15	Professional		$0.11	$0.69	$344.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $11.00	Professional		$10.00	$10.00	$11.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.13 / $0.16	Facility		$0.11	$0.13	$0.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.12 / $0.56	Professional		$0.11	$0.12	$0.56
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $0.27 / $0.27 / $77.09	Facility		$0.27	$0.27	$77.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $0.16 / $0.23 / $529.00	Professional		$0.16	$0.23	$529.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.11 / $0.11	Facility		$0.11	$0.11	$0.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.16	Professional		$0.11	$0.11	$0.16
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.13 / $0.16	Professional		$0.12	$0.13	$0.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.13 / $0.21	Professional		$0.10	$0.13	$0.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $0.96 / $0.96 / $0.96	Professional		$0.96	$0.96	$0.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.24 / $0.24 / $0.24	Professional		$0.24	$0.24	$0.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.11 / $0.47	Facility		$0.11	$0.11	$0.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.19	Professional		$0.11	$0.11	$0.19
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $0.39 / $0.39 / $0.39	Professional		$0.39	$0.39	$0.39
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.12 / $12.50	Professional		$0.09	$0.12	$12.50
United Facility/Professional Facility Modifier Low / Median / High Price $0.55 / $0.56 / $0.56	Facility		$0.55	$0.56	$0.56
United Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.24	Professional		$0.11	$0.11	$0.24