Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.13 / $98.30 / $304.02	Facility		$1.13	$98.30	$304.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $65.54 / $152.00	Professional		$0.28	$65.54	$152.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $26.00 / $77.00	Professional		$26.00	$26.00	$77.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.23 / $0.30 / $0.40	Facility		$0.23	$0.30	$0.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.28 / $0.75	Professional		$0.26	$0.28	$0.75
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $0.61 / $0.61 / $0.61	Facility		$0.61	$0.61	$0.61
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $0.32 / $0.36 / $12.36	Professional		$0.32	$0.36	$12.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.26 / $0.26 / $0.27	Facility		$0.26	$0.26	$0.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $0.27 / $0.60	Professional		$0.27	$0.27	$0.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.33 / $0.38	Professional		$0.28	$0.33	$0.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.25 / $0.32 / $0.56	Professional		$0.25	$0.32	$0.56
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 $1.64 / $1.64 / $1.64	Professional		$1.64	$1.64	$1.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.57 / $0.57 / $0.57	Professional		$0.57	$0.57	$0.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.26 / $0.28 / $0.52	Facility		$0.26	$0.28	$0.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $0.27 / $0.40	Professional		$0.27	$0.27	$0.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $0.81 / $0.81 / $0.81	Professional		$0.81	$0.81	$0.81
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $0.33 / $0.56	Professional		$0.22	$0.33	$0.56
United Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.28 / $0.70	Professional		$0.28	$0.28	$0.70