Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.23 / $6.46 / $8.36	Facility		$3.23	$6.46	$8.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.23 / $3.26 / $8.36	Professional		$3.23	$3.26	$8.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.23 / $5.16 / $11.45	Facility		$3.23	$5.16	$11.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.23 / $3.23 / $9.10	Professional		$3.23	$3.23	$9.10
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $3.01 / $3.54 / $8.33	Facility		$3.01	$3.54	$8.33
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $3.29 / $3.29 / $9.25	Professional		$3.29	$3.29	$9.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.04 / $3.04 / $3.23	Facility		$3.04	$3.04	$3.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.23 / $3.23 / $3.23	Professional		$3.23	$3.23	$3.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.91 / $3.88 / $8.00	Professional		$2.91	$3.88	$8.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $95.00 / $100.00	Facility		$75.00	$95.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.04 / $3.23 / $4.59	Facility		$3.04	$3.23	$4.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.23 / $3.23 / $6.99	Professional		$3.23	$3.23	$6.99
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5.67 / $5.67 / $5.67	Professional		$5.67	$5.67	$5.67
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2.58 / $2.90 / $3.55	Professional		$2.58	$2.90	$3.55
United Facility/Professional Professional Modifier Low / Median / High Price $3.23 / $3.23 / $7.02	Professional		$3.23	$3.23	$7.02