Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.57 / $7.72 / $239.40	Facility		$3.57	$7.72	$239.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.57 / $3.61 / $19.68	Professional		$3.57	$3.61	$19.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.12 / $3.87 / $5.14	Facility		$3.12	$3.87	$5.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $3.57 / $57.12	Professional		$3.47	$3.57	$57.12
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $2.86 / $4.73 / $20.60	Facility		$2.86	$4.73	$20.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $3.40 / $3.40 / $9.67	Professional		$3.40	$3.40	$9.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.37 / $3.37 / $3.57	Facility		$3.37	$3.37	$3.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.57 / $3.57 / $3.57	Professional		$3.57	$3.57	$3.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.21 / $4.28 / $9.52	Professional		$3.21	$4.28	$9.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $120.16 / $120.16	Facility		$75.00	$120.16	$120.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.37 / $3.57 / $5.16	Facility		$3.37	$3.57	$5.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.57 / $3.57 / $7.72	Professional		$3.57	$3.57	$7.72
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $13.35 / $13.35 / $13.35	Professional		$13.35	$13.35	$13.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2.86 / $3.93 / $6.07	Professional		$2.86	$3.93	$6.07
United Facility/Professional Professional Modifier Low / Median / High Price $3.57 / $3.57 / $9.59	Professional		$3.57	$3.57	$9.59