Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.95 / $1.50 / $4.96	Facility		$0.95	$1.50	$4.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.69 / $0.95 / $1.60	Professional		$0.69	$0.95	$1.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.67 / $1.01 / $1.37	Facility		$0.67	$1.01	$1.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.67 / $0.95 / $4.87	Professional		$0.67	$0.95	$4.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $1.86 / $2.04 / $3.46	Facility		$1.86	$2.04	$3.46
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1.03 / $1.03 / $2.58	Professional		$1.03	$1.03	$2.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.89 / $0.89 / $0.95	Facility		$0.89	$0.89	$0.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.95 / $0.95 / $0.95	Professional		$0.95	$0.95	$0.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.86 / $1.13 / $2.54	Professional		$0.86	$1.13	$2.54
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 $0.89 / $0.95 / $1.38	Facility		$0.89	$0.95	$1.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.95 / $0.95 / $2.04	Professional		$0.95	$0.95	$2.04
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $1.07 / $1.07	Professional		$1.07	$1.07	$1.07
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $0.76 / $1.04 / $1.61	Professional		$0.76	$1.04	$1.61
United Facility/Professional Professional Modifier Low / Median / High Price $0.95 / $0.95 / $2.44	Professional		$0.95	$0.95	$2.44