Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $32.36 / $93.33	Facility		$11.22	$32.36	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.62 / $58.88	Professional		$14.13	$18.62	$58.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.14 / $114.82	Professional		$14.13	$15.14	$114.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $16.60 / $30.90	Facility		$14.45	$16.60	$30.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $16.60 / $40.74	Professional		$13.80	$16.60	$40.74
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $14.79 / $18.62	Facility		$13.18	$14.79	$18.62
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $19.50 / $41.69	Professional		$14.79	$19.50	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Facility		$14.79	$14.79	$14.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Professional		$14.79	$14.79	$14.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $51.29 / $398.11	Professional		$19.05	$51.29	$398.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $28.18 / $45.71	Facility		$15.14	$28.18	$45.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $25.70	Professional		$15.14	$15.14	$25.70
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $16.22 / $21.38	Professional		$12.59	$16.22	$21.38
United Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $16.22 / $33.11	Professional		$14.79	$16.22	$33.11