Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.46 / $10.38 / $12.07	Facility		$5.46	$10.38	$12.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.24 / $5.51 / $11.42	Professional		$5.24	$5.51	$11.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.61 / $8.72 / $20.57	Facility		$0.61	$8.72	$20.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.52 / $0.85 / $6.37	Professional		$0.52	$0.85	$6.37
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $6.48 / $11.66	Facility		$6.03	$6.48	$11.66
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $5.56 / $5.56 / $14.26	Professional		$5.56	$5.56	$14.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.15 / $5.15 / $5.46	Facility		$5.15	$5.15	$5.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.46 / $5.46 / $5.46	Professional		$5.46	$5.46	$5.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.91 / $6.55 / $12.01	Professional		$4.91	$6.55	$12.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $6,903.04 / $6,903.04	Facility		$75.00	$6,903.04	$6,903.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.15 / $5.46 / $7.81	Facility		$5.15	$5.46	$7.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.46 / $5.46 / $11.81	Professional		$5.46	$5.46	$11.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7.75 / $7.75 / $7.75	Professional		$7.75	$7.75	$7.75
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $6.00 / $9.27	Professional		$4.37	$6.00	$9.27
United Facility/Professional Professional Modifier Low / Median / High Price $5.46 / $5.46 / $11.25	Professional		$5.46	$5.46	$11.25