Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.32 / $10.68 / $11.99	Facility		$5.32	$10.68	$11.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.32 / $5.37 / $11.63	Professional		$5.32	$5.37	$11.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.34 / $8.50 / $18.85	Facility		$5.34	$8.50	$18.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.32 / $5.34 / $15.05	Professional		$5.32	$5.34	$15.05
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $5.65 / $6.32 / $11.92	Facility		$5.65	$6.32	$11.92
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $5.42 / $5.42 / $14.60	Professional		$5.42	$5.42	$14.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $5.01 / $5.32	Facility		$5.01	$5.01	$5.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.32 / $5.32 / $5.32	Professional		$5.32	$5.32	$5.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $6.38 / $12.06	Professional		$4.79	$6.38	$12.06
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 $5.01 / $5.32 / $7.34	Facility		$5.01	$5.32	$7.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.32 / $5.32 / $11.51	Professional		$5.32	$5.32	$11.51
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7.89 / $7.89 / $7.89	Professional		$7.89	$7.89	$7.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $4.79 / $5.85	Professional		$4.26	$4.79	$5.85
United Facility/Professional Professional Modifier Low / Median / High Price $5.32 / $5.32 / $12.13	Professional		$5.32	$5.32	$12.13