Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.05 / $0.09	Facility		$0.02	$0.05	$0.09
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 / $7.39	Professional		$7.39	$7.39	$7.39
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 / $18.98 / $40.15	Professional		$4.90	$18.98	$40.15
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $15.78 / $23.85	Professional		$11.05	$15.78	$23.85
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 $11.98 / $14.97 / $28.68	Professional		$11.98	$14.97	$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 $14.00 / $37.00 / $393.93	Professional		$14.00	$37.00	$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 / $53.42	Facility		$0.74	$32.52	$53.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.34 / $22.94 / $115.39	Professional		$7.34	$22.94	$115.39
United Facility/Professional Professional Modifier Low / Median / High Price $9.28 / $10.37 / $43.51	Professional		$9.28	$10.37	$43.51