Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.44 / $0.57 / $2.00	Facility		$0.44	$0.57	$2.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.35 / $0.44 / $2.11	Professional		$0.35	$0.44	$2.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.28 / $0.47 / $0.63	Facility		$0.28	$0.47	$0.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.44 / $0.68	Professional		$0.28	$0.44	$0.68
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $0.67 / $2.77 / $4.69	Facility		$0.67	$2.77	$4.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $0.47 / $0.47 / $0.79	Professional		$0.47	$0.47	$0.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.41 / $0.41 / $1.15	Facility		$0.41	$0.41	$1.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.44 / $0.44 / $2.77	Professional		$0.44	$0.44	$2.77
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $0.17 / $0.21 / $0.24	Professional		$0.17	$0.21	$0.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.40 / $0.51 / $1.17	Professional		$0.40	$0.51	$1.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $100.00 / $100.00	Facility		$75.00	$100.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.41 / $0.44 / $0.63	Facility		$0.41	$0.44	$0.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.44 / $0.46 / $2.77	Professional		$0.44	$0.46	$2.77
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $4.80 / $4.80	Professional		$4.80	$4.80	$4.80
United Facility/Professional Professional Modifier Low / Median / High Price $0.44 / $0.44 / $3.97	Professional		$0.44	$0.44	$3.97