Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.71 / $11.58 / $29.41	Facility		$5.71	$11.58	$29.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.71 / $5.84 / $2,472.00	Professional		$5.71	$5.84	$2,472.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.04 / $9.11 / $21.51	Facility		$6.04	$9.11	$21.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.71 / $5.79 / $12.72	Professional		$5.71	$5.79	$12.72
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $6.77 / $7.18 / $13.53	Facility		$6.77	$7.18	$13.53
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $5.71 / $5.71 / $16.23	Professional		$5.71	$5.71	$16.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.38 / $5.38 / $5.71	Facility		$5.38	$5.38	$5.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.71 / $5.71 / $5.71	Professional		$5.71	$5.71	$5.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.14 / $6.85 / $12.94	Professional		$5.14	$6.85	$12.94
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 $5.38 / $5.71 / $8.17	Facility		$5.38	$5.71	$8.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.71 / $5.71 / $12.35	Professional		$5.71	$5.71	$12.35
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $9.61 / $9.61	Professional		$9.61	$9.61	$9.61
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $6.28 / $9.69	Professional		$4.57	$6.28	$9.69
United Facility/Professional Professional Modifier Low / Median / High Price $5.71 / $5.71 / $12.16	Professional		$5.71	$5.71	$12.16