Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.05 / $0.08	Facility		$0.02	$0.05	$0.08
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 $14.00 / $14.00 / $14.78	Professional		$14.00	$14.00	$14.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.96 / $293.00 / $876.00	Facility		$5.96	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.90 / $26.86 / $44.14	Professional		$5.90	$26.86	$44.14
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $26.66 / $38.09 / $57.57	Professional		$26.66	$38.09	$57.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.95 / $23.95 / $29.94	Professional		$23.95	$23.95	$29.94
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 $12.00 / $33.00 / $393.93	Professional		$12.00	$33.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Facility		$50.00	$50.00	$50.00
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 $36.39 / $36.39 / $36.40	Facility		$36.39	$36.39	$36.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.79 / $2,400,000.00 / $2,400,000.00	Professional		$3.79	$2,400,000.00	$2,400,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $4.79 / $4.79	Facility		$4.79	$4.79	$4.79
United Facility/Professional Professional Modifier Low / Median / High Price $23.08 / $23.08 / $23.08	Professional		$23.08	$23.08	$23.08