Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $10.54 / $101.00	Facility		$4.79	$10.54	$101.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.83 / $26.44	Professional		$4.79	$4.83	$26.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.30 / $5.26 / $6.90	Facility		$4.30	$5.26	$6.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $14.25	Professional		$4.79	$4.79	$14.25
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $10.19 / $10.80 / $17.28	Facility		$10.19	$10.80	$17.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $4.72 / $4.72 / $14.22	Professional		$4.72	$4.72	$14.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.51 / $4.51 / $4.79	Facility		$4.51	$4.51	$4.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $4.79	Professional		$4.79	$4.79	$4.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $5.75 / $12.21	Professional		$4.30	$5.75	$12.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $197.50 / $197.50	Facility		$75.00	$197.50	$197.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.51 / $4.79 / $6.91	Facility		$4.51	$4.79	$6.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $10.36	Professional		$4.79	$4.79	$10.36
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $17.95 / $17.95 / $17.95	Professional		$17.95	$17.95	$17.95
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $3.83 / $5.27 / $8.14	Professional		$3.83	$5.27	$8.14
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $12.32	Professional		$4.79	$4.79	$12.32