Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $3.47 / $3.47	Facility		$3.47	$3.47	$3.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $3.47 / $3.47	Professional		$1.00	$3.47	$3.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.51 / $0.65 / $1.62	Facility		$0.51	$0.65	$1.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.68 / $0.83 / $16.22	Professional		$0.68	$0.83	$16.22
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $0.83 / $1.82 / $3.16	Facility		$0.83	$1.82	$3.16
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $0.87 / $1.32 / $3.02	Professional		$0.87	$1.32	$3.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $1.82 / $1.82	Professional		$1.82	$1.82	$1.82
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $0.83 / $0.83 / $0.91	Professional		$0.83	$0.83	$0.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.26 / $2.75	Professional		$1.00	$1.26	$2.75
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 $0.91 / $1.12 / $3.89	Professional		$0.91	$1.12	$3.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $1.20 / $1.20	Professional		$1.20	$1.20	$1.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.72 / $0.83 / $10.72	Facility		$0.72	$0.83	$10.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $1.82 / $1.82	Professional		$0.63	$1.82	$1.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $1.86 / $1.86	Professional		$1.86	$1.86	$1.86
United Facility/Professional Professional Modifier Low / Median / High Price $0.58 / $1.29 / $2.75	Professional		$0.58	$1.29	$2.75