Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $19.82 / $22.25	Facility		$9.77	$19.82	$22.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.86 / $17.03	Professional		$9.77	$9.86	$17.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.91 / $15.61 / $34.61	Facility		$9.91	$15.61	$34.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.91 / $21.79	Professional		$9.77	$9.91	$21.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $12.13 / $13.56 / $21.93	Facility		$12.13	$13.56	$21.93
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $9.96 / $9.96 / $26.33	Professional		$9.96	$9.96	$26.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.22 / $9.22 / $9.77	Facility		$9.22	$9.22	$9.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $9.77	Professional		$9.77	$9.77	$9.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.80 / $11.74 / $22.16	Professional		$8.80	$11.74	$22.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $85.00 / $85.00	Facility		$75.00	$85.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.22 / $9.77 / $13.78	Facility		$9.22	$9.77	$13.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $21.15	Professional		$9.77	$9.77	$21.15
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $14.02 / $14.02 / $14.02	Professional		$14.02	$14.02	$14.02
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $7.82 / $8.80 / $10.75	Professional		$7.82	$8.80	$10.75
United Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $20.16	Professional		$9.77	$9.77	$20.16