Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.57 / $11.14 / $28.89	Facility		$5.57	$11.14	$28.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.57 / $6.43 / $1,400.00	Professional		$5.57	$6.43	$1,400.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.91 / $8.90 / $19.94	Facility		$5.91	$8.90	$19.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.31 / $6.26 / $12.96	Professional		$5.31	$6.26	$12.96
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $5.30 / $6.23 / $12.26	Facility		$5.30	$6.23	$12.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $5.68 / $5.68 / $15.43	Professional		$5.68	$5.68	$15.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $5.25 / $5.57	Facility		$5.25	$5.25	$5.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.57 / $5.57 / $5.57	Professional		$5.57	$5.57	$5.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.68 / $12.62	Professional		$5.01	$6.68	$12.62
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 $5.25 / $5.57 / $7.81	Facility		$5.25	$5.57	$7.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.57 / $5.57 / $12.05	Professional		$5.57	$5.57	$12.05
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $8.93 / $8.93 / $8.93	Professional		$8.93	$8.93	$8.93
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $6.13 / $9.47	Professional		$4.46	$6.13	$9.47
United Facility/Professional Facility Modifier Low / Median / High Price $5.57 / $16.05 / $16.05	Facility		$5.57	$16.05	$16.05
United Facility/Professional Professional Modifier Low / Median / High Price $5.57 / $5.57 / $11.37	Professional		$5.57	$5.57	$11.37