Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.64 / $11.42 / $12.82	Facility		$5.64	$11.42	$12.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.64 / $5.70 / $12.65	Professional		$5.64	$5.70	$12.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.67 / $9.01 / $21.25	Facility		$0.67	$9.01	$21.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.56 / $0.93 / $8.81	Professional		$0.56	$0.93	$8.81
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $6.72 / $7.82 / $12.53	Facility		$6.72	$7.82	$12.53
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $5.75 / $15.92	Professional		$5.75	$5.75	$15.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.32 / $5.32 / $5.64	Facility		$5.32	$5.32	$5.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.64 / $5.64 / $5.64	Professional		$5.64	$5.64	$5.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.08 / $6.77 / $12.78	Professional		$5.08	$6.77	$12.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $85.00 / $100.00	Facility		$75.00	$85.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.32 / $5.64 / $7.81	Facility		$5.32	$5.64	$7.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.64 / $5.64 / $12.20	Professional		$5.64	$5.64	$12.20
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $8.60 / $8.60 / $8.60	Professional		$8.60	$8.60	$8.60
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $6.20 / $9.59	Professional		$4.51	$6.20	$9.59
United Facility/Professional Professional Modifier Low / Median / High Price $5.64 / $5.64 / $11.59	Professional		$5.64	$5.64	$11.59