Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.09 / $8.18 / $10.05	Facility		$4.09	$8.18	$10.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $4.15 / $9.17	Professional		$4.09	$4.15	$9.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.09 / $6.55 / $14.53	Facility		$4.09	$6.55	$14.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $4.09 / $9.34	Professional		$4.09	$4.09	$9.34
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $4.34 / $4.86 / $9.07	Facility		$4.34	$4.86	$9.07
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $4.18 / $4.18 / $10.60	Professional		$4.18	$4.18	$10.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.87 / $3.87 / $4.09	Facility		$3.87	$3.87	$4.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $4.09 / $4.09	Professional		$4.09	$4.09	$4.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.69 / $4.92 / $9.28	Professional		$3.69	$4.92	$9.28
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 $3.87 / $4.09 / $5.86	Facility		$3.87	$4.09	$5.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $4.09 / $8.86	Professional		$4.09	$4.09	$8.86
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6.23 / $6.23 / $6.23	Professional		$6.23	$6.23	$6.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $3.28 / $3.69 / $4.51	Professional		$3.28	$3.69	$4.51
United Facility/Professional Facility Modifier Low / Median / High Price $10.95 / $11.54 / $11.54	Facility		$10.95	$11.54	$11.54
United Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $4.09 / $9.76	Professional		$4.09	$4.09	$9.76