Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.25 / $4.72 / $78.54	Facility		$2.25	$4.72	$78.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $2.29 / $8.99	Professional		$2.25	$2.29	$8.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.02 / $2.48 / $3.25	Facility		$2.02	$2.48	$3.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $2.25 / $11.70	Professional		$2.25	$2.25	$11.70
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $7.36 / $7.79 / $12.96	Facility		$7.36	$7.79	$12.96
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2.46 / $2.46 / $7.18	Professional		$2.46	$2.46	$7.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.13 / $2.13 / $2.25	Facility		$2.13	$2.13	$2.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $2.25 / $2.25	Professional		$2.25	$2.25	$2.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.71 / $6.03	Professional		$2.02	$2.71	$6.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $190.59 / $211.64	Facility		$75.00	$190.59	$211.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.13 / $2.25 / $3.27	Facility		$2.13	$2.25	$3.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $2.25 / $4.88	Professional		$2.25	$2.25	$4.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6.10 / $6.10 / $6.10	Professional		$6.10	$6.10	$6.10
United Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $2.25 / $5.81	Professional		$2.25	$2.25	$5.81