Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.78 / $7.81 / $21.22	Facility		$3.78	$7.81	$21.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.65 / $3.78 / $7.81	Professional		$3.65	$3.78	$7.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.03 / $6.31 / $14.14	Facility		$4.03	$6.31	$14.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.65 / $3.88 / $7.56	Professional		$3.65	$3.88	$7.56
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $3.88 / $4.09 / $6.57	Facility		$3.88	$4.09	$6.57
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $4.03 / $4.15 / $8.94	Professional		$4.03	$4.15	$8.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.88 / $3.88 / $9.27	Facility		$3.88	$3.88	$9.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.88 / $3.88 / $3.88	Professional		$3.88	$3.88	$3.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $7.00 / $638.07	Professional		$4.00	$7.00	$638.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $85.00 / $100.00	Facility		$75.00	$85.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $990.66 / $990.66 / $990.66	Professional		$990.66	$990.66	$990.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.96 / $8.11 / $60.00	Professional		$3.96	$8.11	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.69 / $3.95 / $4.95	Facility		$3.69	$3.95	$4.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.88 / $3.88 / $4.95	Professional		$3.88	$3.88	$4.95
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5.29 / $5.29 / $5.29	Professional		$5.29	$5.29	$5.29
United Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $3.80 / $6.84	Professional		$3.80	$3.80	$6.84