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 $7.39 / $7.39 / $21.81	Professional		$7.39	$7.39	$21.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.36 / $293.00 / $876.00	Facility		$4.36	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.32 / $21.20 / $40.98	Professional		$4.32	$21.20	$40.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $13.51 / $19.30 / $29.17	Professional		$13.51	$19.30	$29.17
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 $14.22 / $19.82 / $24.78	Professional		$14.22	$19.82	$24.78
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 $16.00 / $44.00 / $393.93	Professional		$16.00	$44.00	$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 $8.69 / $19.07 / $2,400,000.00	Professional		$8.69	$19.07	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $9.28 / $10.40 / $36.31	Professional		$9.28	$10.40	$36.31