Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.61 / $13.16 / $91.02	Facility		$2.61	$13.16	$91.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.59 / $10.56	Professional		$2.04	$2.59	$10.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.16 / $2.60 / $3.05	Facility		$2.16	$2.60	$3.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.61 / $10.19	Professional		$2.04	$2.61	$10.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $3.57 / $4.16 / $6.30	Facility		$3.57	$4.16	$6.30
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $2.69 / $7.10	Professional		$2.69	$2.69	$7.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.92 / $1.92 / $2.04	Facility		$1.92	$1.92	$2.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $2.04	Professional		$2.04	$2.04	$2.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.84 / $2.45 / $5.20	Professional		$1.84	$2.45	$5.20
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 $1.92 / $2.04 / $2.95	Facility		$1.92	$2.04	$2.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $4.41	Professional		$2.04	$2.04	$4.41
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7.17 / $7.17 / $7.17	Professional		$7.17	$7.17	$7.17
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1.63 / $2.24 / $3.46	Professional		$1.63	$2.24	$3.46
United Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $6.84	Professional		$2.04	$2.04	$6.84