Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.15 / $0.15	Facility		$0.15	$0.15	$0.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.15 / $0.28	Professional		$0.14	$0.15	$0.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.25 / $5.25	Professional		$5.25	$5.25	$5.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.13 / $0.22	Facility		$0.11	$0.13	$0.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.15 / $0.24	Professional		$0.15	$0.15	$0.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.72 / $0.72 / $0.72	Professional		$0.72	$0.72	$0.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $2.00 / $638.07	Professional		$1.00	$2.00	$638.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $100.00 / $100.00	Facility		$75.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3.54 / $3.68 / $12.00	Professional		$3.54	$3.68	$12.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $85.00 / $85.00	Professional		$70.00	$85.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.22 / $0.47 / $0.64	Facility		$0.22	$0.47	$0.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $0.72 / $0.72	Professional		$0.18	$0.72	$0.72
United Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $0.22 / $0.52	Professional		$0.20	$0.22	$0.52