Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.22 / $4.51 / $6.00	Facility		$2.22	$4.51	$6.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.22 / $2.25 / $6.00	Professional		$2.22	$2.25	$6.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.25 / $3.55 / $7.95	Facility		$2.25	$3.55	$7.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.22 / $2.25 / $6.35	Professional		$2.22	$2.25	$6.35
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $2.72 / $3.04 / $4.92	Facility		$2.72	$3.04	$4.92
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $2.25 / $6.35	Professional		$2.25	$2.25	$6.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.10 / $2.10 / $2.22	Facility		$2.10	$2.10	$2.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.22 / $2.22 / $2.22	Professional		$2.22	$2.22	$2.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.66 / $5.66	Professional		$2.00	$2.66	$5.66
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 $2.10 / $2.22 / $3.17	Facility		$2.10	$2.22	$3.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.22 / $2.22 / $4.80	Professional		$2.22	$2.22	$4.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4.05 / $4.05 / $4.05	Professional		$4.05	$4.05	$4.05
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $2.00 / $2.45	Professional		$1.78	$2.00	$2.45
United Facility/Professional Professional Modifier Low / Median / High Price $2.22 / $2.22 / $4.58	Professional		$2.22	$2.22	$4.58