Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.95 / $2.82 / $99.00	Facility		$0.95	$2.82	$99.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.94 / $1.18 / $54.28	Professional		$0.94	$1.18	$54.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.30 / $1.56 / $29.64	Professional		$1.30	$1.56	$29.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.23 / $1.58	Facility		$1.00	$1.23	$1.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.94 / $1.35 / $3.75	Professional		$0.94	$1.35	$3.75
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $0.97 / $1.03 / $2.45	Facility		$0.97	$1.03	$2.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1.38 / $1.42 / $3.08	Professional		$1.38	$1.42	$3.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.89 / $0.89 / $0.94	Facility		$0.89	$0.89	$0.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.94 / $0.94 / $1.13	Professional		$0.94	$0.94	$1.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $0.98 / $1.07 / $1.32	Professional		$0.98	$1.07	$1.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.85 / $1.12 / $2.13	Professional		$0.85	$1.12	$2.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $132.18 / $132.18	Facility		$75.00	$132.18	$132.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $67.27	Professional		$67.27	$67.27	$67.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.98 / $2.00 / $60.00	Professional		$0.98	$2.00	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.74 / $0.94 / $1.71	Facility		$0.74	$0.94	$1.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.94 / $0.94 / $1.66	Professional		$0.94	$0.94	$1.66
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1.36 / $1.36 / $1.36	Professional		$1.36	$1.36	$1.36
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $0.75 / $0.94 / $1.41	Professional		$0.75	$0.94	$1.41
United Facility/Professional Professional Modifier Low / Median / High Price $0.94 / $0.94 / $1.94	Professional		$0.94	$0.94	$1.94