Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.70 / $1.26 / $3.61	Facility		$0.70	$1.26	$3.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.70 / $0.72 / $3.75	Professional		$0.70	$0.72	$3.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.56 / $0.74 / $1.01	Facility		$0.56	$0.74	$1.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $0.70 / $3.57	Professional		$0.63	$0.70	$3.57
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $1.52 / $2.97 / $5.27	Facility		$1.52	$2.97	$5.27
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $0.76 / $0.76 / $2.29	Professional		$0.76	$0.76	$2.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.66 / $0.66 / $0.70	Facility		$0.66	$0.66	$0.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.70 / $0.70 / $0.70	Professional		$0.70	$0.70	$0.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $0.84 / $1.87	Professional		$0.63	$0.84	$1.87
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 $0.66 / $0.70 / $1.02	Facility		$0.66	$0.70	$1.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.70 / $0.70 / $1.51	Professional		$0.70	$0.70	$1.51
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $2.54 / $2.54	Professional		$2.54	$2.54	$2.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $0.56 / $0.77 / $1.19	Professional		$0.56	$0.77	$1.19
United Facility/Professional Professional Modifier Low / Median / High Price $0.70 / $0.70 / $1.88	Professional		$0.70	$0.70	$1.88