Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.29 / $2.54 / $2.95	Facility		$1.29	$2.54	$2.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.28 / $1.30 / $2.18	Professional		$1.28	$1.30	$2.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.29 / $2.06 / $4.82	Facility		$1.29	$2.06	$4.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.27 / $1.29 / $2.80	Professional		$1.27	$1.29	$2.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $1.70 / $1.78 / $2.94	Facility		$1.70	$1.78	$2.94
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1.31 / $1.31 / $3.68	Professional		$1.31	$1.31	$3.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.21 / $1.21 / $1.29	Facility		$1.21	$1.21	$1.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $1.29 / $1.29	Professional		$1.29	$1.29	$1.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.15 / $1.55 / $3.00	Professional		$1.15	$1.55	$3.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $85.00 / $100.00	Facility		$75.00	$85.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.21 / $1.29 / $1.84	Facility		$1.21	$1.29	$1.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $1.29 / $2.79	Professional		$1.29	$1.29	$2.79
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $1.82 / $1.82	Professional		$1.82	$1.82	$1.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1.03 / $1.15 / $1.42	Professional		$1.03	$1.15	$1.42
United Facility/Professional Facility Modifier Low / Median / High Price $1.29 / $1.29 / $1.29	Facility		$1.29	$1.29	$1.29
United Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $1.29 / $2.65	Professional		$1.29	$1.29	$2.65