Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $31.40 / $111.63	Facility		$0.02	$31.40	$111.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.06 / $1.05	Professional		$0.02	$0.06	$1.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.00 / $3.00	Professional		$3.00	$3.00	$3.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Facility		$0.02	$0.02	$0.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.03 / $0.24	Professional		$0.02	$0.03	$0.24
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.12 / $0.17	Facility		$0.11	$0.12	$0.17
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.05	Professional		$0.02	$0.02	$0.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.05 / $0.14	Professional		$0.02	$0.05	$0.14
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Professional		$0.02	$0.02	$0.02
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $776.08 / $776.08 / $776.08	Professional		$776.08	$776.08	$776.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $1.00	Professional		$0.02	$0.02	$1.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $85.00 / $85.00	Facility		$75.00	$85.00	$85.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $530.00 / $530.00 / $530.00	Professional		$530.00	$530.00	$530.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $60.00	Professional		$0.02	$0.02	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.06 / $0.46 / $0.67	Facility		$0.06	$0.46	$0.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.03 / $0.14	Professional		$0.02	$0.03	$0.14
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Professional		$0.02	$0.02	$0.02
United Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $7.92	Professional		$0.02	$0.02	$7.92