Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.83 / $3.66 / $4.50	Facility		$1.83	$3.66	$4.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.83 / $1.85 / $3.62	Professional		$1.83	$1.85	$3.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.65 / $2.02 / $2.64	Facility		$1.65	$2.02	$2.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.83 / $1.83 / $3.80	Professional		$1.83	$1.83	$3.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $1.78 / $1.80 / $2.83	Facility		$1.78	$1.80	$2.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1.87 / $1.96 / $4.68	Professional		$1.87	$1.96	$4.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.73 / $1.73 / $1.83	Facility		$1.73	$1.73	$1.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.83 / $1.83 / $2.12	Professional		$1.83	$1.83	$2.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.65 / $2.20 / $4.03	Professional		$1.65	$2.20	$4.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $95.00 / $100.00	Facility		$75.00	$95.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $552.48 / $552.48 / $552.48	Professional		$552.48	$552.48	$552.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.80 / $3.69 / $60.00	Professional		$1.80	$3.69	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.83 / $1.90 / $3.20	Facility		$1.83	$1.90	$3.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.83 / $1.83 / $2.25	Professional		$1.83	$1.83	$2.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2.46 / $2.46 / $2.46	Professional		$2.46	$2.46	$2.46
United Facility/Professional Professional Modifier Low / Median / High Price $1.83 / $1.83 / $3.27	Professional		$1.83	$1.83	$3.27