Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.69 / $25.20 / $304.00	Facility		$0.69	$25.20	$304.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.55 / $0.55 / $2.41	Professional		$0.55	$0.55	$2.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.44 / $0.57 / $0.79	Facility		$0.44	$0.57	$0.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.49 / $0.55 / $3.85	Professional		$0.49	$0.55	$3.85
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $1.37 / $2.50 / $4.25	Facility		$1.37	$2.50	$4.25
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $0.57 / $0.57 / $1.75	Professional		$0.57	$0.57	$1.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.52 / $0.52 / $0.55	Facility		$0.52	$0.52	$0.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.55 / $0.55 / $0.55	Professional		$0.55	$0.55	$0.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.50 / $0.66 / $1.47	Professional		$0.50	$0.66	$1.47
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 $0.52 / $0.55 / $0.79	Facility		$0.52	$0.55	$0.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.55 / $0.55 / $1.19	Professional		$0.55	$0.55	$1.19
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1.64 / $1.64 / $1.64	Professional		$1.64	$1.64	$1.64
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $0.44 / $0.60 / $0.93	Professional		$0.44	$0.60	$0.93
United Facility/Professional Professional Modifier Low / Median / High Price $0.55 / $0.55 / $1.37	Professional		$0.55	$0.55	$1.37