Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.05 / $25.95	Facility		$0.02	$0.05	$25.95
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 $7.96 / $7.96 / $21.81	Professional		$7.96	$7.96	$21.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.52 / $293.00 / $876.00	Facility		$5.52	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.47 / $26.54 / $40.98	Professional		$5.47	$26.54	$40.98
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 / $24.37 / $30.46	Professional		$16.00	$24.37	$30.46
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 $17.00 / $47.00 / $393.93	Professional		$17.00	$47.00	$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 / $25.87 / $2,400,000.00	Professional		$16.00	$25.87	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $13.28 / $41.31	Professional		$10.16	$13.28	$41.31