Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.10 / $4.30 / $4.90	Facility		$2.10	$4.30	$4.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $2.12 / $4.90	Professional		$2.10	$2.12	$4.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.15 / $3.35 / $7.84	Facility		$2.15	$3.35	$7.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $2.15 / $5.08	Professional		$2.10	$2.15	$5.08
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $2.50 / $2.79 / $4.83	Facility		$2.50	$2.79	$4.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.14 / $6.02	Professional		$2.14	$2.14	$6.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.98 / $1.98 / $2.10	Facility		$1.98	$1.98	$2.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $2.10 / $2.10	Professional		$2.10	$2.10	$2.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.89 / $2.52 / $4.76	Professional		$1.89	$2.52	$4.76
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 $1.98 / $2.10 / $2.76	Facility		$1.98	$2.10	$2.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $2.10 / $4.54	Professional		$2.10	$2.10	$4.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3.33 / $3.33 / $3.33	Professional		$3.33	$3.33	$3.33
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1.68 / $1.89 / $2.31	Professional		$1.68	$1.89	$2.31
United Facility/Professional Facility Modifier Low / Median / High Price $2.10 / $2.10 / $2.10	Facility		$2.10	$2.10	$2.10
United Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $2.10 / $4.32	Professional		$2.10	$2.10	$4.32