Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.35 / $2.97 / $6.58	Facility		$1.35	$2.97	$6.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.37 / $2.88	Professional		$1.35	$1.37	$2.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.43 / $1.72 / $1.97	Facility		$1.43	$1.72	$1.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.68 / $4.73	Professional		$1.35	$1.68	$4.73
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.00 / $3.39	Facility		$2.00	$2.00	$3.39
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1.38 / $1.38 / $3.07	Professional		$1.38	$1.38	$3.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.28 / $1.28 / $1.35	Facility		$1.28	$1.28	$1.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.35 / $1.91	Professional		$1.35	$1.35	$1.91
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $2.02 / $2.50	Professional		$1.85	$2.02	$2.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.62 / $2.58	Professional		$1.22	$1.62	$2.58
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 $610.54 / $610.54 / $610.54	Professional		$610.54	$610.54	$610.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $3.79 / $60.00	Professional		$1.85	$3.79	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.35 / $1.68 / $6.48	Facility		$1.35	$1.68	$6.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.35 / $2.90	Professional		$1.35	$1.35	$2.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1.53 / $1.53 / $1.53	Professional		$1.53	$1.53	$1.53
United Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.35 / $2.52	Professional		$1.35	$1.35	$2.52