Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.19 / $0.86 / $67.95	Facility		$0.19	$0.86	$67.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.19 / $4.00	Professional		$0.19	$0.19	$4.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $26.00 / $37.00	Professional		$23.00	$26.00	$37.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.20 / $0.24 / $0.27	Facility		$0.20	$0.24	$0.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.23 / $1.82	Professional		$0.19	$0.23	$1.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $0.60 / $0.92 / $1.62	Facility		$0.60	$0.92	$1.62
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $0.28 / $0.77	Professional		$0.27	$0.28	$0.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.17 / $0.17 / $0.18	Facility		$0.17	$0.17	$0.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $0.18 / $0.33	Professional		$0.18	$0.18	$0.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $0.23 / $0.26 / $0.31	Professional		$0.23	$0.26	$0.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.17 / $0.23 / $0.44	Professional		$0.17	$0.23	$0.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $360.42 / $360.42	Facility		$75.00	$360.42	$360.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $155.58 / $155.58 / $155.58	Professional		$155.58	$155.58	$155.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.23 / $0.47 / $60.00	Professional		$0.23	$0.47	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.19 / $0.35 / $8.66	Facility		$0.19	$0.35	$8.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $0.18 / $0.49	Professional		$0.18	$0.18	$0.49
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $0.55 / $0.55 / $0.55	Professional		$0.55	$0.55	$0.55
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.19 / $0.28	Professional		$0.15	$0.19	$0.28
United Facility/Professional Facility Modifier Low / Median / High Price $0.89 / $0.93 / $0.93	Facility		$0.89	$0.93	$0.93
United Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.19 / $0.39	Professional		$0.19	$0.19	$0.39