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 $30.88 / $30.88 / $30.88	Professional		$30.88	$30.88	$30.88
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 $4.95 / $293.00 / $876.00	Facility		$4.95	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $26.54 / $44.23	Professional		$4.90	$26.54	$44.23
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 / $20.47 / $28.68	Professional		$16.00	$20.47	$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 $22.00 / $54.00 / $393.93	Professional		$22.00	$54.00	$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
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11.65 / $27.47 / $42.27	Professional		$11.65	$27.47	$42.27
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 $15.38 / $25.87 / $2,400,000.00	Professional		$15.38	$25.87	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $9.28 / $10.29 / $36.31	Professional		$9.28	$10.29	$36.31