Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.05 / $16.88	Facility		$0.02	$0.05	$16.88
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 $7.39 / $7.39 / $21.81	Professional		$7.39	$7.39	$21.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.54 / $293.00 / $876.00	Facility		$6.54	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.48 / $25.23 / $42.04	Professional		$6.48	$25.23	$42.04
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $14.03 / $20.04 / $30.29	Professional		$14.03	$20.04	$30.29
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 / $27.26 / $34.08	Professional		$16.00	$27.26	$34.08
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 $27.00 / $65.00 / $393.93	Professional		$27.00	$65.00	$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 / $24.90 / $2,400,000.00	Professional		$16.00	$24.90	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $11.68 / $51.64	Professional		$10.16	$11.68	$51.64