Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.88 / $2.84 / $8.93	Facility		$0.88	$2.84	$8.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.88 / $0.89 / $4.93	Professional		$0.88	$0.89	$4.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.94 / $1.63 / $3.15	Facility		$0.94	$1.63	$3.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.88 / $1.84 / $9.63	Professional		$0.88	$1.84	$9.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $2.13 / $2.50 / $25.57	Facility		$2.13	$2.50	$25.57
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $0.90 / $0.95 / $2.72	Professional		$0.90	$0.95	$2.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.83 / $0.83 / $0.88	Facility		$0.83	$0.83	$0.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.88 / $0.88 / $1.55	Professional		$0.88	$0.88	$1.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1.42 / $1.56 / $1.91	Professional		$1.42	$1.56	$1.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.79 / $1.06 / $2.64	Professional		$0.79	$1.06	$2.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $100.00 / $100.00	Facility		$75.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,746.08 / $8,746.08 / $8,746.08	Professional		$8,746.08	$8,746.08	$8,746.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.42 / $2.91 / $60.00	Professional		$1.42	$2.91	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.88 / $1.06 / $20.14	Facility		$0.88	$1.06	$20.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.88 / $0.88 / $1.78	Professional		$0.88	$0.88	$1.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6.06 / $6.06 / $6.06	Professional		$6.06	$6.06	$6.06
United Facility/Professional Professional Modifier Low / Median / High Price $0.88 / $0.88 / $1.79	Professional		$0.88	$0.88	$1.79