Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.91 / $9.55 / $79.43	Facility		$1.91	$9.55	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.23 / $1.58 / $5.13	Professional		$0.23	$1.58	$5.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $10.96	Professional		$8.91	$8.91	$10.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.09 / $0.13 / $0.26	Facility		$0.09	$0.13	$0.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.11 / $0.38	Professional		$0.09	$0.11	$0.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $0.20 / $0.22 / $0.25	Facility		$0.20	$0.22	$0.25
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.14 / $0.33	Professional		$0.11	$0.14	$0.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.10 / $0.11	Facility		$0.10	$0.10	$0.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.11	Professional		$0.11	$0.11	$0.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.12 / $0.24	Professional		$0.09	$0.12	$0.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.36 / $0.63	Professional		$0.15	$0.36	$0.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.11	Professional		$0.11	$0.11	$0.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.19 / $0.35	Facility		$0.11	$0.19	$0.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.22	Professional		$0.11	$0.11	$0.22
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $0.22 / $0.22	Professional		$0.22	$0.22	$0.22
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.12 / $0.19	Professional		$0.09	$0.12	$0.19
United Facility/Professional Facility Modifier Low / Median / High Price $0.47 / $0.47 / $0.47	Facility		$0.47	$0.47	$0.47
United Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.30	Professional		$0.11	$0.11	$0.30