Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.70 / $3.40 / $3.90	Facility		$1.70	$3.40	$3.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $1.71 / $3.90	Professional		$1.70	$1.71	$3.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.70 / $2.72 / $6.02	Facility		$1.70	$2.72	$6.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $1.70 / $3.75	Professional		$1.70	$1.70	$3.75
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $1.55 / $1.73 / $3.81	Facility		$1.55	$1.73	$3.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1.73 / $1.73 / $4.76	Professional		$1.73	$1.73	$4.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.60 / $1.60 / $1.70	Facility		$1.60	$1.60	$1.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $1.70 / $1.70	Professional		$1.70	$1.70	$1.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.53 / $2.04 / $3.85	Professional		$1.53	$2.04	$3.85
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 $1.60 / $1.70 / $2.29	Facility		$1.60	$1.70	$2.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $1.70 / $3.68	Professional		$1.70	$1.70	$3.68
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2.65 / $2.65 / $2.65	Professional		$2.65	$2.65	$2.65
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1.36 / $1.53 / $1.87	Professional		$1.36	$1.53	$1.87
United Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $1.70 / $3.47	Professional		$1.70	$1.70	$3.47