Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.88 / $1.96 / $2.33	Facility		$0.88	$1.96	$2.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.85 / $0.88 / $1.06	Professional		$0.85	$0.88	$1.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.77 / $0.95 / $1.08	Facility		$0.77	$0.95	$1.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.89 / $0.90 / $1.66	Professional		$0.89	$0.90	$1.66
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $0.90 / $0.95 / $1.59	Facility		$0.90	$0.95	$1.59
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $0.88 / $0.88 / $2.21	Professional		$0.88	$0.88	$2.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.90 / $0.90 / $0.90	Facility		$0.90	$0.90	$0.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.90 / $0.90 / $0.90	Professional		$0.90	$0.90	$0.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $5.35 / $5.35 / $7.22	Professional		$5.35	$5.35	$7.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $638.07 / $801.00	Professional		$105.00	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $90.00 / $100.00	Facility		$85.00	$90.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2.33 / $2.33 / $2.33	Professional		$2.33	$2.33	$2.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Professional		$85.00	$85.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.88 / $1.06 / $1.06	Facility		$0.88	$1.06	$1.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.90 / $0.90 / $1.06	Professional		$0.90	$0.90	$1.06
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $0.89 / $1.15 / $1.34	Professional		$0.89	$1.15	$1.34
United Facility/Professional Professional Modifier Low / Median / High Price $0.92 / $0.92 / $1.50	Professional		$0.92	$0.92	$1.50