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 $6.21 / $6.21 / $6.21	Professional		$6.21	$6.21	$6.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.73 / $293.00 / $876.00	Facility		$8.73	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.64 / $24.58 / $40.98	Professional		$8.64	$24.58	$40.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $10.05 / $14.35 / $21.69	Professional		$10.05	$14.35	$21.69
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 / $23.95 / $29.94	Professional		$14.22	$23.95	$29.94
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 $19.00 / $51.00 / $393.93	Professional		$19.00	$51.00	$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 $2.54 / $25.87 / $2,400,000.00	Professional		$2.54	$25.87	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.08 / $10.77 / $55.82	Professional		$10.08	$10.77	$55.82