Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.85 / $1.57 / $95.52	Facility		$0.85	$1.57	$95.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.85 / $0.85 / $1.20	Professional		$0.85	$0.85	$1.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.13 / $1.15 / $1.17	Facility		$1.13	$1.15	$1.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.77 / $0.85 / $1.79	Professional		$0.77	$0.85	$1.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $1.69 / $1.79 / $1.99	Facility		$1.69	$1.79	$1.99
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $0.85 / $0.88 / $2.10	Professional		$0.85	$0.88	$2.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.81 / $1.23 / $1.55	Facility		$0.81	$1.23	$1.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.85 / $0.85 / $1.05	Professional		$0.85	$0.85	$1.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $0.65 / $0.87 / $6.20	Professional		$0.65	$0.87	$6.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.77 / $0.98 / $2.00	Professional		$0.77	$0.98	$2.00
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 $1,342.50 / $1,342.50 / $1,342.50	Professional		$1,342.50	$1,342.50	$1,342.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.65 / $1.33 / $60.00	Professional		$0.65	$1.33	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.85 / $0.92 / $1.73	Facility		$0.85	$0.92	$1.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.85 / $0.85 / $1.01	Professional		$0.85	$0.85	$1.01
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $2.06 / $2.06	Professional		$2.06	$2.06	$2.06
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $0.68 / $0.85 / $1.28	Professional		$0.68	$0.85	$1.28
United Facility/Professional Professional Modifier Low / Median / High Price $0.85 / $0.85 / $1.38	Professional		$0.85	$0.85	$1.38