Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.36 / $5.36 / $36.40	Facility		$5.36	$5.36	$36.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.36 / $5.89 / $31.20	Professional		$5.36	$5.89	$31.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $15.00 / $25.20	Professional		$11.25	$15.00	$25.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.84 / $14.10 / $23.85	Facility		$11.84	$14.10	$23.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $13.77 / $16.20	Professional		$11.75	$13.77	$16.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $25.91 / $36.33 / $59.38	Professional		$25.91	$36.33	$59.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.45 / $7.45 / $7.45	Professional		$7.45	$7.45	$7.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $34.00 / $638.07	Professional		$21.00	$34.00	$638.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $22.48 / $90.00 / $90.00	Facility		$22.48	$90.00	$90.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $90.10 / $93.71 / $99.00	Professional		$90.10	$93.71	$99.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $70.00 / $85.00	Professional		$60.00	$70.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $17.36 / $25.70	Facility		$9.94	$17.36	$25.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.45 / $7.45 / $7.45	Professional		$7.45	$7.45	$7.45
United Facility/Professional Professional Modifier Low / Median / High Price $6.86 / $7.58 / $23.90	Professional		$6.86	$7.58	$23.90