Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $18.62 / $24.55	Facility		$12.02	$18.62	$24.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $8.91 / $18.62	Professional		$7.94	$8.91	$18.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $10.96 / $23.44	Facility		$9.55	$10.96	$23.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $9.33 / $22.91	Professional		$8.91	$9.33	$22.91
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $10.23 / $17.78	Facility		$8.91	$10.23	$17.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $11.48 / $25.12	Professional		$8.91	$11.48	$25.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $8.51 / $8.91	Facility		$8.51	$8.51	$8.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $8.91	Professional		$8.91	$8.91	$8.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $9.77 / $19.50	Professional		$8.13	$9.77	$19.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $100.00	Facility		$95.50	$95.50	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $8.13	Professional		$8.13	$8.13	$8.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $13.49 / $21.88	Facility		$8.91	$13.49	$21.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $9.77	Professional		$8.91	$8.91	$9.77
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $11.48	Professional		$11.48	$11.48	$11.48
United Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $19.95 / $19.95	Facility		$8.91	$19.95	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $19.05	Professional		$8.91	$8.91	$19.05