Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.71 / $26.70 / $102.17	Facility		$4.71	$26.70	$102.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $4.59 / $8.00	Professional		$2.18	$4.59	$8.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.31 / $2.99 / $5.32	Facility		$2.31	$2.99	$5.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $4.55 / $10.93	Professional		$2.18	$4.55	$10.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $2.60 / $4.44 / $6.26	Facility		$2.60	$4.44	$6.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2.22 / $2.22 / $6.69	Professional		$2.22	$2.22	$6.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.06 / $2.06 / $2.18	Facility		$2.06	$2.06	$2.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $2.18 / $2.18	Professional		$2.18	$2.18	$2.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.96 / $2.62 / $5.01	Professional		$1.96	$2.62	$5.01
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 $2.06 / $2.18 / $3.12	Facility		$2.06	$2.18	$3.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $2.18 / $4.72	Professional		$2.18	$2.18	$4.72
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3.33 / $3.33 / $3.33	Professional		$3.33	$3.33	$3.33
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $2.40 / $3.71	Professional		$1.75	$2.40	$3.71
United Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $2.18 / $5.85	Professional		$2.18	$2.18	$5.85