Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.26 / $0.26 / $2.50	Facility		$0.26	$0.26	$2.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.25 / $0.26 / $0.26	Professional		$0.25	$0.26	$0.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.19 / $0.22	Facility		$0.15	$0.19	$0.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $0.18 / $0.43	Professional		$0.18	$0.18	$0.43
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $0.72 / $0.72 / $0.81	Professional		$0.72	$0.72	$0.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.18 / $0.18 / $0.18	Facility		$0.18	$0.18	$0.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $0.18 / $0.18	Professional		$0.18	$0.18	$0.18
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.15 / $0.18	Professional		$0.15	$0.15	$0.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $638.07	Professional		$1.00	$1.00	$638.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $90.00 / $100.00	Facility		$80.00	$90.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $1.00	Professional		$1.00	$1.00	$1.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.38 / $60.00	Professional		$0.19	$0.38	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.18 / $0.23 / $0.34	Facility		$0.18	$0.23	$0.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $0.18 / $0.23	Professional		$0.18	$0.18	$0.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.15 / $0.23	Professional		$0.15	$0.15	$0.23
United Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $0.18 / $0.34	Professional		$0.18	$0.18	$0.34