Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $28.18 / $870.96	Facility		$4.79	$28.18	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.88 / $10.23	Professional		$2.00	$2.88	$10.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.40 / $2.40	Professional		$2.40	$2.40	$2.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.51 / $2.82 / $5.62	Facility		$2.51	$2.82	$5.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.51 / $9.77	Professional		$2.40	$2.51	$9.77
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $10.00 / $11.75	Facility		$5.89	$10.00	$11.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $3.39 / $7.76	Professional		$2.57	$3.39	$7.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.24 / $2.24 / $2.40	Facility		$2.24	$2.24	$2.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.40 / $2.40	Professional		$2.40	$2.40	$2.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.63 / $5.50	Professional		$2.14	$2.63	$5.50
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 $3.24 / $4.47 / $18.20	Professional		$3.24	$4.47	$18.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.40 / $2.40	Professional		$2.40	$2.40	$2.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $3.98 / $6.46	Facility		$2.40	$3.98	$6.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $2.57 / $3.16	Professional		$2.57	$2.57	$3.16
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.17 / $4.17	Professional		$4.17	$4.17	$4.17
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $2.88 / $4.47	Professional		$2.09	$2.88	$4.47
United Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $8.13 / $8.13	Facility		$8.13	$8.13	$8.13
United Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.40 / $5.89	Professional		$2.40	$2.40	$5.89