Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.00 / $2.00	Facility		$2.00	$2.00	$2.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $2.00 / $2.00	Professional		$1.74	$2.00	$2.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.30 / $0.38 / $0.95	Facility		$0.30	$0.38	$0.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.41 / $0.49 / $8.13	Professional		$0.41	$0.49	$8.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $0.47 / $1.00 / $1.74	Facility		$0.47	$1.00	$1.74
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $0.32 / $0.48 / $1.26	Professional		$0.32	$0.48	$1.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.33 / $0.33 / $0.33	Professional		$0.33	$0.33	$0.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $0.47 / $0.47 / $0.52	Professional		$0.47	$0.47	$0.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.65 / $0.71 / $1.55	Professional		$0.65	$0.71	$1.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $0.46 / $0.55 / $1.95	Professional		$0.46	$0.55	$1.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.68 / $0.68 / $0.68	Professional		$0.68	$0.68	$0.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.40 / $0.47 / $2.40	Facility		$0.40	$0.47	$2.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.33 / $0.33 / $0.47	Professional		$0.33	$0.33	$0.47
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1.05 / $1.05 / $1.05	Professional		$1.05	$1.05	$1.05
United Facility/Professional Professional Modifier Low / Median / High Price $0.33 / $0.72 / $1.55	Professional		$0.33	$0.72	$1.55