Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.12 / $2.56 / $4,500.00	Facility		$1.12	$2.56	$4,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.11 / $1.23 / $2,092.19	Professional		$1.11	$1.23	$2,092.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.17 / $1.77 / $3.97	Facility		$1.17	$1.77	$3.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.11 / $1.13 / $3.14	Professional		$1.11	$1.13	$3.14
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.16 / $2.96	Facility		$2.00	$2.16	$2.96
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.12 / $3.18	Professional		$1.12	$1.12	$3.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.04 / $1.04 / $1.11	Facility		$1.04	$1.04	$1.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.11 / $1.11 / $1.11	Professional		$1.11	$1.11	$1.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.33 / $2.52	Professional		$1.00	$1.33	$2.52
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 $1.04 / $1.11 / $1.38	Facility		$1.04	$1.11	$1.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.11 / $1.11 / $2.40	Professional		$1.11	$1.11	$2.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1.96 / $1.96 / $1.96	Professional		$1.96	$1.96	$1.96
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $0.89 / $1.22 / $1.88	Professional		$0.89	$1.22	$1.88
United Facility/Professional Professional Modifier Low / Median / High Price $1.11 / $1.11 / $2.98	Professional		$1.11	$1.11	$2.98