Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.85 / $7.60 / $7.97	Facility		$1.85	$7.60	$7.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $7.96 / $15.03	Professional		$3.00	$7.96	$15.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $2.63 / $2.84	Professional		$2.10	$2.63	$2.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.94 / $1.11 / $1.88	Facility		$0.94	$1.11	$1.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.96 / $1.61 / $2.97	Professional		$0.96	$1.61	$2.97
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $3.40 / $6.66	Professional		$2.09	$3.40	$6.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.08 / $1.08 / $1.08	Professional		$1.08	$1.08	$1.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $2.89 / $3.55	Professional		$2.63	$2.89	$3.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.37 / $3.55 / $7.02	Professional		$2.37	$3.55	$7.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $19.84 / $90.00 / $90.00	Facility		$19.84	$90.00	$90.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $92.00 / $167.85 / $174.56	Professional		$92.00	$167.85	$174.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $2.63 / $39.84	Facility		$2.63	$2.63	$39.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.08 / $1.08 / $2.81	Professional		$1.08	$1.08	$2.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4.97 / $4.97 / $4.97	Professional		$4.97	$4.97	$4.97
United Facility/Professional Professional Modifier Low / Median / High Price $1.09 / $1.14 / $2.89	Professional		$1.09	$1.14	$2.89