<Li> Triple - S Management Corporation (BlueCross & BlueShield Puerto Rico) </Li> <P> Multi-state private companies </P> <Ul> <Li> CareFirst <Ul> <Li> District of Columbia </Li> <Li> Maryland </Li> <Li> Parts of Virginia </Li> </Ul> </Li> <Li> Health Care Service Corporation <Ul> <Li> BlueCross BlueShield of Illinois </Li> <Li> BlueCross BlueShield of Montana </Li> <Li> BlueCross BlueShield of New Mexico </Li> <Li> BlueCross BlueShield of Oklahoma </Li> <Li> BlueCross BlueShield of Texas </Li> </Ul> </Li> <Li> Highmark <Ul> <Li> Highmark BlueCross BlueShield (Western and Northeastern Pennsylvania) </Li> <Li> Highmark BlueShield (Eastern & Central Pennsylvania) </Li> <Li> Highmark BlueCross Blue Shield Delaware (Delaware) </Li> <Li> Highmark BlueCross BlueShield West Virginia (formerly Mountain State Blue Cross Blue Shield) (West Virginia) </Li> </Ul> </Li> <Li> Premera <Ul> <Li> Premera BlueCross BlueShield of Alaska </Li> <Li> Premera BlueCross (Washington) </Li> </Ul> </Li> <Li> Cambia Health Solutions <Ul> <Li> Regence BlueShield of Idaho </Li> <Li> Regence Blue Cross Blue Shield of Oregon </Li> <Li> Regence BlueCross BlueShield of Utah </Li> <Li> Regence BlueShield (Washington) </Li> </Ul> </Li> <Li> Wellmark Blue Cross Blue Shield <Ul> <Li> Iowa </Li> <Li> South Dakota </Li> </Ul> </Li> </Ul> <Li> CareFirst <Ul> <Li> District of Columbia </Li> <Li> Maryland </Li> <Li> Parts of Virginia </Li> </Ul> </Li>

Is care first the same as blue cross blue shield