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 $3.34 / $293.00 / $876.00	Facility		$3.34	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $3.40 / $34.89	Professional		$3.31	$3.40	$34.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
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 $14.04 / $17.55 / $28.68	Professional		$14.04	$17.55	$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
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 $8.97 / $24.90 / $2,400,000.00	Professional		$8.97	$24.90	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $9.28 / $10.16 / $35.22	Professional		$9.28	$10.16	$35.22