Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.05 / $35.54 / $402.99	Facility		$4.05	$35.54	$402.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $2.79 / $8.26	Professional		$1.95	$2.79	$8.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.99 / $2.34 / $2.81	Facility		$1.99	$2.34	$2.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $2.27 / $7.56	Professional		$1.95	$2.27	$7.56
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $5.61 / $5.68 / $9.01	Facility		$5.61	$5.68	$9.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $1.99 / $5.66	Professional		$1.99	$1.99	$5.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.84 / $1.84 / $1.95	Facility		$1.84	$1.84	$1.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $1.95 / $1.95	Professional		$1.95	$1.95	$1.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.76 / $2.34 / $5.00	Professional		$1.76	$2.34	$5.00
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 $1.84 / $1.95 / $2.79	Facility		$1.84	$1.95	$2.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $1.95 / $4.22	Professional		$1.95	$1.95	$4.22
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $4.51 / $4.51	Professional		$4.51	$4.51	$4.51
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1.56 / $2.14 / $3.31	Professional		$1.56	$2.14	$3.31
United Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $1.95 / $5.01	Professional		$1.95	$1.95	$5.01