Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.09 / $14.12 / $170.92	Facility		$4.09	$14.12	$170.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.20 / $2.78 / $9.60	Professional		$2.20	$2.78	$9.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.25 / $2.69 / $3.18	Facility		$2.25	$2.69	$3.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.21 / $2.62 / $6.18	Professional		$2.21	$2.62	$6.18
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $3.10 / $3.29 / $5.67	Facility		$3.10	$3.29	$5.67
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2.41 / $2.41 / $6.55	Professional		$2.41	$2.41	$6.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.08 / $2.08 / $2.21	Facility		$2.08	$2.08	$2.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.21 / $2.21 / $2.21	Professional		$2.21	$2.21	$2.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $2.65 / $5.08	Professional		$1.99	$2.65	$5.08
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 $2.08 / $2.21 / $3.16	Facility		$2.08	$2.21	$3.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.21 / $2.21 / $4.78	Professional		$2.21	$2.21	$4.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3.18 / $3.18 / $3.18	Professional		$3.18	$3.18	$3.18
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1.77 / $2.43 / $3.75	Professional		$1.77	$2.43	$3.75
United Facility/Professional Professional Modifier Low / Median / High Price $2.21 / $2.21 / $4.55	Professional		$2.21	$2.21	$4.55