Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.42 / $5.21 / $12.01	Facility		$1.42	$5.21	$12.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.42 / $1.43 / $26.94	Professional		$1.42	$1.43	$26.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.28 / $1.28 / $1.28	Professional		$1.28	$1.28	$1.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.28 / $1.56 / $2.04	Facility		$1.28	$1.56	$2.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.42 / $1.44 / $5.16	Professional		$1.42	$1.44	$5.16
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $3.30 / $3.30 / $3.30	Facility		$3.30	$3.30	$3.30
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1.27 / $1.41 / $3.92	Professional		$1.27	$1.41	$3.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.33 / $1.33 / $1.41	Facility		$1.33	$1.33	$1.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $1.41 / $2.29	Professional		$1.41	$1.41	$2.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1.42 / $1.46 / $1.97	Professional		$1.42	$1.46	$1.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.28 / $1.63 / $3.00	Professional		$1.28	$1.63	$3.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $100.00 / $100.00	Facility		$85.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7.42 / $7.42 / $7.42	Professional		$7.42	$7.42	$7.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.99 / $2.99 / $2.99	Professional		$2.99	$2.99	$2.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.33 / $1.42 / $2.88	Facility		$1.33	$1.42	$2.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $1.41 / $2.29	Professional		$1.41	$1.41	$2.29
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3.40 / $3.40 / $3.40	Professional		$3.40	$3.40	$3.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.42 / $2.41	Professional		$1.12	$1.42	$2.41
United Facility/Professional Professional Modifier Low / Median / High Price $1.42 / $1.42 / $3.12	Professional		$1.42	$1.42	$3.12