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 $14.78 / $14.78 / $14.78	Professional		$14.78	$14.78	$14.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.59 / $293.00 / $876.00	Facility		$8.59	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.50 / $29.19 / $47.97	Professional		$8.50	$29.19	$47.97
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 $28.50 / $28.50 / $35.63	Professional		$28.50	$28.50	$35.63
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 $50.00 / $138.00 / $393.93	Professional		$50.00	$138.00	$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 $52.35 / $52.35 / $52.40	Facility		$52.35	$52.35	$52.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.61 / $2,400,000.00 / $2,400,000.00	Professional		$23.61	$2,400,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $33.94 / $33.94 / $33.94	Professional		$33.94	$33.94	$33.94