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 $0.15 / $0.15 / $0.28	Professional		$0.15	$0.15	$0.28
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 / $0.28	Professional		$0.15	$0.15	$0.28
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 $0.57 / $0.57 / $0.57	Professional		$0.57	$0.57	$0.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $638.07	Professional		$1.00	$1.00	$638.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $126.17 / $126.17	Facility		$75.00	$126.17	$126.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1.40 / $3.54 / $3.68	Professional		$1.40	$3.54	$3.68
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 $0.28 / $0.48 / $0.67	Facility		$0.28	$0.48	$0.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.57 / $0.57	Professional		$0.28	$0.57	$0.57
United Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $0.22 / $0.55	Professional		$0.20	$0.22	$0.55