Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.50 / $9.90 / $23.18	Facility		$4.50	$9.90	$23.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $4.99 / $29.72	Professional		$4.50	$4.99	$29.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.76 / $5.67 / $6.56	Facility		$4.76	$5.67	$6.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $5.61 / $15.79	Professional		$4.50	$5.61	$15.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $9.69 / $10.83 / $17.75	Facility		$9.69	$10.83	$17.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $4.58 / $4.58 / $13.80	Professional		$4.58	$4.58	$13.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.24 / $4.24 / $4.50	Facility		$4.24	$4.24	$4.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $4.50 / $4.50	Professional		$4.50	$4.50	$4.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.05 / $5.40 / $12.00	Professional		$4.05	$5.40	$12.00
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 $4.24 / $4.50 / $6.44	Facility		$4.24	$4.50	$6.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $4.50 / $9.73	Professional		$4.50	$4.50	$9.73
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $20.60 / $20.60 / $20.60	Professional		$20.60	$20.60	$20.60
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $3.60 / $4.95 / $7.65	Professional		$3.60	$4.95	$7.65
United Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $4.50 / $11.58	Professional		$4.50	$4.50	$11.58