Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.90 / $7.85 / $96.67	Facility		$2.90	$7.85	$96.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.62 / $2.90 / $5.41	Professional		$2.62	$2.90	$5.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.31 / $3.08 / $4.18	Facility		$2.31	$3.08	$4.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $2.90 / $6.65	Professional		$2.31	$2.90	$6.65
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $2.98 / $3.32 / $4.83	Facility		$2.98	$3.32	$4.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $3.14 / $3.14 / $7.85	Professional		$3.14	$3.14	$7.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.73 / $2.73 / $2.90	Facility		$2.73	$2.73	$2.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.90 / $2.90 / $2.90	Professional		$2.90	$2.90	$2.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.61 / $3.48 / $6.57	Professional		$2.61	$3.48	$6.57
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 $2.73 / $2.90 / $4.15	Facility		$2.73	$2.90	$4.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.90 / $2.90 / $6.27	Professional		$2.90	$2.90	$6.27
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $1.78 / $1.78	Professional		$1.78	$1.78	$1.78
United Facility/Professional Professional Modifier Low / Median / High Price $2.90 / $2.90 / $5.98	Professional		$2.90	$2.90	$5.98