Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Facility		$25.12	$25.12	$25.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.66 / $0.66 / $0.66	Professional		$0.66	$0.66	$0.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $4.47 / $4.47	Professional		$4.47	$4.47	$4.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.05 / $0.06 / $0.08	Facility		$0.05	$0.06	$0.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.05 / $0.13	Professional		$0.05	$0.05	$0.13
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.05 / $0.05 / $0.05	Facility		$0.05	$0.05	$0.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.05 / $1.51	Professional		$0.05	$0.05	$1.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $2.00 / $630.96	Professional		$1.00	$2.00	$630.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.04 / $0.05 / $0.10	Facility		$0.04	$0.05	$0.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.05 / $0.05	Professional		$0.05	$0.05	$0.05
United Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Facility		$0.02	$0.02	$0.02
United Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.05	Professional		$0.02	$0.02	$0.05