Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.06 / $24.77	Facility		$0.02	$0.06	$24.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.04 / $0.06	Professional		$0.02	$0.04	$0.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $17.23 / $21.81	Professional		$17.23	$17.23	$21.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.28 / $293.00 / $876.00	Facility		$8.28	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.21 / $40.95 / $68.25	Professional		$8.21	$40.95	$68.25
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $22.76 / $32.52 / $49.15	Professional		$22.76	$32.52	$49.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.47 / $0.73 / $2.06	Facility		$0.47	$0.73	$2.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $34.69 / $43.37	Professional		$16.00	$34.69	$43.37
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $99.00 / $99.00	Professional		$99.00	$99.00	$99.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $63.00 / $393.93	Professional		$23.00	$63.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $112.04 / $135.76 / $135.76	Facility		$112.04	$135.76	$135.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.74 / $32.52 / $57.02	Facility		$0.74	$32.52	$57.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $26.16 / $2,400,000.00	Professional		$16.00	$26.16	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.08 / $10.72 / $55.82	Professional		$10.08	$10.72	$55.82