Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.21 / $40.56 / $128.25	Facility		$11.21	$40.56	$128.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.91 / $13.00 / $40.56	Professional		$9.91	$13.00	$40.56
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $10.48 / $16.96 / $19.16	Professional	CQ	$10.48	$16.96	$19.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.83 / $92.65 / $385.82	Facility		$74.83	$92.65	$385.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.67 / $12.83 / $73.34	Professional		$2.67	$12.83	$73.34
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $18.57 / $42.67 / $65.62	Facility		$18.57	$42.67	$65.62
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $11.42 / $15.82 / $28.99	Professional		$11.42	$15.82	$28.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $85.00 / $315.00	Facility		$72.00	$85.00	$315.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.98 / $24.92 / $102.90	Professional		$10.98	$24.92	$102.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10.69 / $14.13 / $21.50	Professional		$10.69	$14.13	$21.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.27 / $15.48 / $27.30	Professional		$13.27	$15.48	$27.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.49 / $80.00 / $100.00	Facility		$55.49	$80.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $90.21 / $119.55	Professional		$21.23	$90.21	$119.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.25 / $32.34 / $70.00	Professional		$12.25	$32.34	$70.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $85.00 / $315.00	Facility		$72.00	$85.00	$315.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.42 / $32.76 / $105.33	Professional		$11.42	$32.76	$105.33
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $49.88 / $49.88	Professional		$4.00	$49.88	$49.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $13.91 / $19.13 / $28.77	Professional		$13.91	$19.13	$28.77
United Facility/Professional Professional Modifier Low / Median / High Price $12.42 / $15.52 / $32.39	Professional		$12.42	$15.52	$32.39