Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $1.58 / $1.58	Professional		$1.58	$1.58	$1.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Professional		$18.20	$18.20	$18.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.20 / $0.25 / $0.63	Facility		$0.20	$0.25	$0.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.26 / $0.52	Professional		$0.26	$0.26	$0.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $0.52 / $0.78 / $1.29	Professional		$0.52	$0.78	$1.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $0.27 / $0.27	Professional		$0.27	$0.27	$0.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $134.90 / $630.96	Professional		$104.71	$134.90	$630.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $10.23	Professional		$7.94	$7.94	$10.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.22 / $0.44 / $0.66	Facility		$0.22	$0.44	$0.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.28 / $0.28	Professional		$0.28	$0.28	$0.28
United Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.22 / $0.41	Professional		$0.14	$0.22	$0.41