Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $4.00 / $4.00	Facility		$4.00	$4.00	$4.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.00 / $4.00	Professional		$4.00	$4.00	$4.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.73 / $0.87 / $1.47	Facility		$0.73	$0.87	$1.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $10.00	Professional		$1.00	$1.00	$10.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.33 / $1.33 / $1.33	Professional		$1.33	$1.33	$1.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $36.43 / $36.43 / $43.72	Professional		$36.43	$36.43	$43.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $31.00 / $638.07	Professional		$23.00	$31.00	$638.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $100.00 / $100.00	Facility		$80.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $81.98 / $81.98 / $81.98	Professional		$81.98	$81.98	$81.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $4.00 / $8.96	Facility		$4.00	$4.00	$8.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.33 / $1.33 / $1.33	Professional		$1.33	$1.33	$1.33
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $36.43 / $36.43 / $47.36	Professional		$36.43	$36.43	$47.36