Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.06 / $17.63	Facility		$0.02	$0.06	$17.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.40 / $78.40 / $78.40	Professional		$78.40	$78.40	$78.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.39 / $18.45 / $21.81	Professional		$7.39	$18.45	$21.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.38 / $293.00 / $876.00	Facility		$5.38	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.33 / $32.31 / $53.11	Professional		$5.33	$32.31	$53.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $15.35 / $21.93 / $33.14	Professional		$15.35	$21.93	$33.14
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 / $37.17 / $46.46	Professional		$16.00	$37.17	$46.46
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 $28.00 / $68.00 / $393.93	Professional		$28.00	$68.00	$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 / $10.88 / $39.92	Professional		$10.16	$10.88	$39.92