Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.16 / $79.20 / $511.37	Facility		$0.16	$79.20	$511.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $33.32 / $182.33	Professional		$0.14	$33.32	$182.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $11.00 / $14.00	Professional		$11.00	$11.00	$14.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.15 / $0.20	Facility		$0.11	$0.15	$0.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.14 / $0.47	Professional		$0.11	$0.14	$0.47
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $0.31 / $0.33 / $0.50	Facility		$0.31	$0.33	$0.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.15 / $0.35	Professional		$0.14	$0.15	$0.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.13 / $0.13 / $0.14	Facility		$0.13	$0.13	$0.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.14 / $0.17	Professional		$0.14	$0.14	$0.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.13 / $0.16	Professional		$0.11	$0.13	$0.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.13 / $0.17 / $0.31	Professional		$0.13	$0.17	$0.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $85.00 / $100.00	Facility		$75.00	$85.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $85.90 / $85.90 / $85.90	Professional		$85.90	$85.90	$85.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.22 / $60.00	Professional		$0.11	$0.22	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.14 / $0.14 / $0.53	Facility		$0.14	$0.14	$0.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.13 / $0.14 / $0.17	Professional		$0.13	$0.14	$0.17
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $0.27 / $0.27	Professional		$0.27	$0.27	$0.27
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.14 / $0.20	Professional		$0.11	$0.14	$0.20
United Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.14 / $0.28	Professional		$0.14	$0.14	$0.28