Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.63 / $187.88 / $6,675.40	Facility		$0.63	$187.88	$6,675.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $105.30 / $2,698.29	Professional		$0.63	$105.30	$2,698.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.00 / $38.00 / $99.00	Professional		$34.00	$38.00	$99.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.40 / $0.67 / $0.86	Facility		$0.40	$0.67	$0.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.38 / $0.63 / $13.92	Professional		$0.38	$0.63	$13.92
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $1.41 / $2.11 / $18.70	Facility		$1.41	$2.11	$18.70
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $0.68 / $0.71 / $1.80	Professional		$0.68	$0.71	$1.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.59 / $0.59 / $0.60	Facility		$0.59	$0.59	$0.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.81	Professional		$0.60	$0.60	$0.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $0.61 / $0.73 / $0.99	Professional		$0.61	$0.73	$0.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.56 / $0.76 / $1.61	Professional		$0.56	$0.76	$1.61
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 $1,046.63 / $1,046.63 / $1,046.63	Professional		$1,046.63	$1,046.63	$1,046.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.73 / $1.49 / $60.00	Professional		$0.73	$1.49	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.63 / $0.68 / $13.96	Facility		$0.63	$0.68	$13.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $1.00	Professional		$0.60	$0.60	$1.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $1.51 / $1.51	Professional		$1.51	$1.51	$1.51
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $0.50 / $0.63 / $0.94	Professional		$0.50	$0.63	$0.94
United Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $0.67 / $1.89	Professional		$0.63	$0.67	$1.89