Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.11 / $6.84 / $102.96	Facility		$3.11	$6.84	$102.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $3.38 / $10.00	Professional		$3.11	$3.38	$10.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.74 / $3.37 / $4.48	Facility		$2.74	$3.37	$4.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.04 / $3.11 / $8.72	Professional		$3.04	$3.11	$8.72
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $5.36 / $5.90 / $8.93	Facility		$5.36	$5.90	$8.93
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $3.17 / $3.17 / $9.01	Professional		$3.17	$3.17	$9.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.94 / $2.94 / $3.11	Facility		$2.94	$2.94	$3.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $3.11 / $3.11	Professional		$3.11	$3.11	$3.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.80 / $3.73 / $7.93	Professional		$2.80	$3.73	$7.93
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 $2.94 / $3.11 / $4.49	Facility		$2.94	$3.11	$4.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $3.11 / $6.73	Professional		$3.11	$3.11	$6.73
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7.15 / $7.15 / $7.15	Professional		$7.15	$7.15	$7.15
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $3.42 / $5.29	Professional		$2.49	$3.42	$5.29
United Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $3.11 / $6.62	Professional		$3.11	$3.11	$6.62