Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.34 / $0.90 / $11.25	Facility		$0.34	$0.90	$11.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.33 / $0.34 / $0.57	Professional		$0.33	$0.34	$0.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.00 / $59.00 / $59.00	Professional		$59.00	$59.00	$59.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.32 / $0.38 / $0.49	Facility		$0.32	$0.38	$0.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.33 / $0.35 / $0.68	Professional		$0.33	$0.35	$0.68
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $0.35 / $0.35 / $0.54	Facility		$0.35	$0.35	$0.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $0.36 / $0.90	Professional		$0.34	$0.36	$0.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.35 / $0.35 / $0.35	Facility		$0.35	$0.35	$0.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.35 / $0.35 / $0.35	Professional		$0.35	$0.35	$0.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $638.07	Professional		$1.00	$1.00	$638.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $100.00 / $100.00	Facility		$75.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $42.10 / $42.10 / $42.10	Professional		$42.10	$42.10	$42.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.47 / $0.96 / $60.00	Professional		$0.47	$0.96	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.28 / $0.44 / $0.59	Facility		$0.28	$0.44	$0.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.35 / $0.35 / $0.44	Professional		$0.35	$0.35	$0.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $0.57 / $0.57 / $0.57	Professional		$0.57	$0.57	$0.57
United Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $0.34 / $0.61	Professional		$0.34	$0.34	$0.61