Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.38 / $19.34 / $56.25	Facility		$8.38	$19.34	$56.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.38 / $10.43 / $16.05	Professional		$8.38	$10.43	$16.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.30 / $10.97 / $14.89	Facility		$8.30	$10.97	$14.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.56 / $8.61 / $18.23	Professional		$3.56	$8.61	$18.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $12.26 / $13.48 / $23.79	Facility		$12.26	$13.48	$23.79
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $28.06	Professional		$11.22	$11.22	$28.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.76 / $9.76 / $10.34	Facility		$9.76	$9.76	$10.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.34 / $10.34 / $10.34	Professional		$10.34	$10.34	$10.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.31 / $12.41 / $23.43	Professional		$9.31	$12.41	$23.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $100.00 / $100.00	Facility		$75.00	$100.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.76 / $10.34 / $14.70	Facility		$9.76	$10.34	$14.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.34 / $10.34 / $22.37	Professional		$10.34	$10.34	$22.37
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $16.05 / $16.05	Professional		$16.05	$16.05	$16.05
United Facility/Professional Professional Modifier Low / Median / High Price $10.34 / $10.34 / $21.31	Professional		$10.34	$10.34	$21.31