Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $8.01 / $2,312.10	Facility		$3.89	$8.01	$2,312.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $3.93 / $9.90	Professional		$3.89	$3.93	$9.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.05 / $6.21 / $14.66	Facility		$4.05	$6.21	$14.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $3.89 / $10.16	Professional		$3.89	$3.89	$10.16
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $3.96 / $4.66 / $8.94	Facility		$3.96	$4.66	$8.94
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $3.96 / $3.96 / $11.02	Professional		$3.96	$3.96	$11.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.67 / $3.67 / $3.89	Facility		$3.67	$3.67	$3.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $3.89 / $3.89	Professional		$3.89	$3.89	$3.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $4.67 / $8.82	Professional		$3.50	$4.67	$8.82
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 $3.67 / $3.89 / $5.51	Facility		$3.67	$3.89	$5.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $3.89 / $8.41	Professional		$3.89	$3.89	$8.41
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6.71 / $6.71 / $6.71	Professional		$6.71	$6.71	$6.71
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $4.28 / $6.61	Professional		$3.11	$4.28	$6.61
United Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $3.89 / $8.27	Professional		$3.89	$3.89	$8.27