Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.05 / $9.17	Facility		$0.02	$0.05	$9.17
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 $9.36 / $9.36 / $9.36	Professional		$9.36	$9.36	$9.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.36 / $293.00 / $876.00	Facility		$4.36	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.32 / $15.62 / $33.02	Professional		$4.32	$15.62	$33.02
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $11.71 / $17.70	Professional		$8.19	$11.71	$17.70
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 / $20.47 / $28.68	Professional		$16.00	$20.47	$28.68
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 $18.00 / $49.00 / $393.93	Professional		$18.00	$49.00	$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 / $50.80	Facility		$0.74	$32.52	$50.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.83 / $24.90 / $2,400,000.00	Professional		$13.83	$24.90	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $6.66 / $10.16 / $32.93	Professional		$6.66	$10.16	$32.93