Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.05 / $17.45	Facility		$0.02	$0.05	$17.45
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 $4.95 / $293.00 / $876.00	Facility		$4.95	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $20.68 / $40.98	Professional		$4.90	$20.68	$40.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $11.49 / $16.42 / $24.82	Professional		$11.49	$16.42	$24.82
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 / $22.30 / $28.68	Professional		$16.00	$22.30	$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 $15.00 / $42.00 / $393.93	Professional		$15.00	$42.00	$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
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11.02 / $27.47 / $42.27	Professional		$11.02	$27.47	$42.27
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 $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 $8.83 / $10.40 / $55.82	Professional		$8.83	$10.40	$55.82