Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.70 / $7.50 / $112.50	Facility		$1.70	$7.50	$112.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.40 / $1.43 / $4.07	Professional		$1.40	$1.43	$4.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.22 / $1.53 / $2.02	Facility		$1.22	$1.53	$2.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.36 / $1.41 / $4.19	Professional		$1.36	$1.41	$4.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $3.02 / $4.54	Facility		$2.88	$3.02	$4.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $2.06 / $5.18	Professional		$2.06	$2.06	$5.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.33 / $1.33 / $1.41	Facility		$1.33	$1.33	$1.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $1.41 / $1.41	Professional		$1.41	$1.41	$1.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.27 / $1.69 / $3.60	Professional		$1.27	$1.69	$3.60
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 $1.33 / $1.41 / $2.02	Facility		$1.33	$1.41	$2.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $1.41 / $3.05	Professional		$1.41	$1.41	$3.05
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1.92 / $1.92 / $1.92	Professional		$1.92	$1.92	$1.92
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.56 / $2.40	Professional		$1.12	$1.56	$2.40
United Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $1.41 / $3.63	Professional		$1.41	$1.41	$3.63