Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.28 / $14.83 / $274.95	Facility		$6.28	$14.83	$274.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $6.83 / $62.54	Professional		$3.80	$6.83	$62.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.14 / $7.25 / $9.84	Facility		$3.14	$7.25	$9.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.14 / $5.14 / $23.19	Professional		$3.14	$5.14	$23.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $11.92 / $16.70 / $28.33	Facility		$11.92	$16.70	$28.33
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $6.95 / $6.95 / $20.94	Professional		$6.95	$6.95	$20.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.44 / $6.44 / $6.83	Facility		$6.44	$6.44	$6.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $6.83 / $6.83	Professional		$6.83	$6.83	$6.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.15 / $8.19 / $18.23	Professional		$6.15	$8.19	$18.23
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 $6.44 / $6.83 / $9.85	Facility		$6.44	$6.83	$9.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $6.83 / $14.77	Professional		$6.83	$6.83	$14.77
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $42.49 / $42.49 / $42.49	Professional		$42.49	$42.49	$42.49
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $5.46 / $7.51 / $11.60	Professional		$5.46	$7.51	$11.60
United Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $6.83 / $18.72	Professional		$6.83	$6.83	$18.72