Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $7.94 / $12.88	Facility		$5.75	$7.94	$12.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $13.49	Professional		$3.02	$3.02	$13.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.72 / $4.37 / $8.91	Facility		$3.72	$4.37	$8.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $3.80 / $33.11	Professional		$3.55	$3.80	$33.11
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $11.22 / $17.78	Facility		$9.55	$11.22	$17.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $5.01 / $14.45	Professional		$3.80	$5.01	$14.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $3.63 / $3.80	Facility		$3.63	$3.63	$3.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $3.80 / $3.80	Professional		$3.80	$3.80	$3.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $4.17 / $34.67	Professional		$3.47	$4.17	$34.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $5.01	Professional		$5.01	$5.01	$5.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.72 / $6.46 / $11.75	Facility		$3.72	$6.46	$11.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $3.55 / $7.59	Professional		$3.55	$3.55	$7.59
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $12.30	Professional		$12.30	$12.30	$12.30
United Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Facility		$22.39	$22.39	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $3.80 / $14.13	Professional		$3.80	$3.80	$14.13