Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.91 / $2.91 / $7.65	Facility		$2.91	$2.91	$7.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.91 / $2.91 / $5.65	Professional		$2.91	$2.91	$5.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.75 / $18.75 / $18.75	Professional		$18.75	$18.75	$18.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.22 / $7.40 / $12.53	Facility		$6.22	$7.40	$12.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.11 / $7.23 / $10.00	Professional		$6.11	$7.23	$10.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $9.26 / $12.98 / $21.22	Professional		$9.26	$12.98	$21.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $17.00 / $17.00	Professional		$17.00	$17.00	$17.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $15.00 / $638.07	Professional		$14.00	$15.00	$638.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11.56 / $90.00 / $90.00	Facility		$11.56	$90.00	$90.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $49.47 / $50.93 / $51.44	Professional		$49.47	$50.93	$51.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.12 / $9.07 / $13.38	Facility		$5.12	$9.07	$13.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $17.00 / $17.00	Professional		$17.00	$17.00	$17.00
United Facility/Professional Professional Modifier Low / Median / High Price $3.54 / $3.90 / $9.27	Professional		$3.54	$3.90	$9.27