Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.12 / $54.00 / $899.10	Facility		$0.12	$54.00	$899.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $2.06 / $93.48	Professional		$0.10	$2.06	$93.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $11.00 / $33.00	Professional		$10.00	$11.00	$33.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.12 / $0.14	Facility		$0.10	$0.12	$0.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.11 / $1.78	Professional		$0.10	$0.11	$1.78
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $0.39 / $0.44 / $2.38	Facility		$0.39	$0.44	$2.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.11 / $0.32	Professional		$0.10	$0.11	$0.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.10 / $0.10	Facility		$0.10	$0.10	$0.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.10 / $0.14	Professional		$0.10	$0.10	$0.14
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.13 / $0.16	Professional		$0.12	$0.13	$0.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.12 / $0.22	Professional		$0.09	$0.12	$0.22
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 $306.11 / $306.11 / $306.11	Professional		$306.11	$306.11	$306.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.24 / $60.00	Professional		$0.12	$0.24	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.12 / $2.19	Facility		$0.10	$0.12	$2.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.10 / $0.19	Professional		$0.10	$0.10	$0.19
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1.39 / $1.39 / $1.39	Professional		$1.39	$1.39	$1.39
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.10 / $0.15	Professional		$0.08	$0.10	$0.15
United Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.10 / $0.20	Professional		$0.10	$0.10	$0.20