Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $5.00 / $5.00	Facility		$5.00	$5.00	$5.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $5.15	Professional		$5.00	$5.00	$5.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $5.92 / $5.92	Professional		$5.92	$5.92	$5.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.24 / $3.90 / $10.32	Facility		$3.24	$3.90	$10.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.83 / $4.50 / $4.50	Professional		$3.83	$4.50	$4.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Professional		$0.02	$0.02	$0.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.12 / $4.12 / $4.12	Facility		$4.12	$4.12	$4.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $3.50 / $4.24	Professional		$3.50	$3.50	$4.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $5.00 / $801.00	Professional		$4.00	$5.00	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $273.83 / $273.83	Facility		$100.00	$273.83	$273.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $9.27 / $9.27	Professional		$9.27	$9.27	$9.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $85.00	Professional		$32.34	$32.34	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.12 / $6.47 / $6.47	Facility		$4.12	$6.47	$6.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $3.50 / $4.12	Professional		$3.50	$3.50	$4.12
United Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $0.34 / $4.41	Professional		$0.22	$0.34	$4.41