Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.00 / $1.00	Facility		$1.00	$1.00	$1.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $4.07 / $77.62	Professional		$1.00	$4.07	$77.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $87.10 / $87.10	Professional		$79.43	$87.10	$87.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $12.88 / $32.36	Facility		$10.23	$12.88	$32.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $11.48 / $19.05	Professional		$8.71	$11.48	$19.05
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $0.38 / $0.72	Professional		$0.27	$0.38	$0.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.38 / $0.81 / $0.81	Professional		$0.38	$0.81	$0.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $2.00 / $3.02	Professional		$1.00	$2.00	$3.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.95 / $1.05 / $1.95	Facility		$0.95	$1.05	$1.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.85 / $0.85 / $1.26	Professional		$0.85	$0.85	$1.26
United Facility/Professional Facility Modifier Low / Median / High Price $1.20 / $1.20 / $1.20	Facility		$1.20	$1.20	$1.20
United Facility/Professional Professional Modifier Low / Median / High Price $0.78 / $1.07 / $2.69	Professional		$0.78	$1.07	$2.69