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 $17.23 / $17.23 / $17.23	Professional		$17.23	$17.23	$17.23
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 / $22.39 / $69.23	Professional		$6.48	$22.39	$69.23
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 Professional Modifier Low / Median / High Price $28.08 / $28.08 / $35.11	Professional		$28.08	$28.08	$35.11
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 $15.00 / $42.00 / $393.93	Professional		$15.00	$42.00	$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 $39.94 / $39.94 / $39.96	Facility		$39.94	$39.94	$39.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.03 / $15.03 / $2,400,000.00	Professional		$15.03	$15.03	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $23.08 / $23.08 / $23.08	Professional		$23.08	$23.08	$23.08