Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.08 / $5.56	Facility		$0.03	$0.08	$5.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $0.03	Professional		$0.03	$0.03	$0.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.50 / $7.50 / $37.50	Professional		$7.50	$7.50	$37.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $4.84 / $8.21	Facility		$4.07	$4.84	$8.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $5.57 / $6.55	Professional		$2.00	$5.57	$6.55
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 Professional Modifier Low / Median / High Price $20.03 / $20.03 / $20.03	Professional		$20.03	$20.03	$20.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $0.04	Professional		$0.03	$0.03	$0.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $125.00 / $801.00	Professional		$6.00	$125.00	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $90.00 / $100.00	Facility		$80.00	$90.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5.14 / $5.14 / $5.14	Professional		$5.14	$5.14	$5.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.03 / $0.07	Facility		$0.03	$0.03	$0.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.03 / $20.03 / $20.03	Professional		$20.03	$20.03	$20.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $0.04	Professional		$0.03	$0.03	$0.04
United Facility/Professional Professional Modifier Low / Median / High Price $3.54 / $3.54 / $3.54	Professional		$3.54	$3.54	$3.54