Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.83 / $4.28 / $34.90	Facility		$3.83	$4.28	$34.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.28 / $4.28 / $31.71	Professional		$4.28	$4.28	$31.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.67 / $3.52 / $37.07	Facility		$0.67	$3.52	$37.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.55 / $10.06 / $25.65	Professional		$4.55	$10.06	$25.65
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $12.43 / $18.75 / $26.06	Facility		$12.43	$18.75	$26.06
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $14.07 / $30.58 / $45.47	Professional		$14.07	$30.58	$45.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.13 / $7.13 / $7.13	Professional		$7.13	$7.13	$7.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.88 / $16.32 / $32.28	Professional		$10.88	$16.32	$32.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $28.34 / $80.00 / $100.00	Facility		$28.34	$80.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $69.52 / $69.52 / $89.03	Professional		$69.52	$69.52	$89.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.86 / $28.86 / $28.86	Professional		$28.86	$28.86	$28.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.67 / $12.09 / $16.41	Facility		$8.67	$12.09	$16.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.13 / $7.13 / $13.24	Professional		$7.13	$7.13	$13.24
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $22.83 / $22.83 / $22.83	Professional		$22.83	$22.83	$22.83
United Facility/Professional Professional Modifier Low / Median / High Price $5.47 / $5.92 / $14.51	Professional		$5.47	$5.92	$14.51