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 $14.78 / $14.78 / $14.78	Professional		$14.78	$14.78	$14.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.09 / $293.00 / $876.00	Facility		$13.09	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.96 / $23.38 / $38.97	Professional		$12.96	$23.38	$38.97
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 $21.89 / $21.89 / $27.36	Professional		$21.89	$21.89	$27.36
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 $22.00 / $61.00 / $393.93	Professional		$22.00	$61.00	$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 $79.86 / $79.86 / $79.93	Facility		$79.86	$79.86	$79.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.05 / $4.05 / $2,400,000.00	Professional		$4.05	$4.05	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $27.12 / $27.12 / $27.12	Professional		$27.12	$27.12	$27.12