Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.15 / $145.41	Facility		$0.15	$0.15	$145.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.15 / $0.63	Professional		$0.14	$0.15	$0.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.75 / $3.75 / $18.75	Professional		$3.75	$3.75	$18.75
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 $0.14 / $0.14 / $0.28	Professional		$0.14	$0.14	$0.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $13.95 / $19.55 / $31.96	Professional		$13.95	$19.55	$31.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.30 / $0.30 / $0.30	Professional		$0.30	$0.30	$0.30
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 $80.00 / $100.00 / $100.00	Facility		$80.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1.39 / $1.48 / $1.67	Professional		$1.39	$1.48	$1.67
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 $0.15 / $0.15 / $0.34	Facility		$0.15	$0.15	$0.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.16 / $0.30 / $0.30	Professional		$0.16	$0.30	$0.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.28 / $0.56	Professional		$0.09	$0.28	$0.56
United Facility/Professional Professional Modifier Low / Median / High Price $0.81 / $0.81 / $5.38	Professional		$0.81	$0.81	$5.38