Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.43 / $4.84 / $5.69	Facility		$2.43	$4.84	$5.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.43 / $2.45 / $5.69	Professional		$2.43	$2.45	$5.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.44 / $3.88 / $9.07	Facility		$2.44	$3.88	$9.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.42 / $2.43 / $5.56	Professional		$2.42	$2.43	$5.56
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $2.74 / $3.10 / $5.34	Facility		$2.74	$3.10	$5.34
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $2.47 / $6.77	Professional		$2.47	$2.47	$6.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $2.29 / $2.43	Facility		$2.29	$2.29	$2.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.43 / $2.43 / $2.43	Professional		$2.43	$2.43	$2.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $2.92 / $5.51	Professional		$2.19	$2.92	$5.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $85.00 / $100.00	Facility		$75.00	$85.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $2.43 / $3.47	Facility		$2.29	$2.43	$3.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.43 / $2.43 / $5.26	Professional		$2.43	$2.43	$5.26
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3.85 / $3.85 / $3.85	Professional		$3.85	$3.85	$3.85
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1.94 / $2.18 / $2.67	Professional		$1.94	$2.18	$2.67
United Facility/Professional Professional Modifier Low / Median / High Price $2.43 / $2.43 / $5.18	Professional		$2.43	$2.43	$5.18