Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $40.74 / $107.15	Facility		$11.75	$40.74	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.88 / $57.54	Professional		$10.00	$12.88	$57.54
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $12.59 / $19.50 / $32.36	Professional	CQ	$12.59	$19.50	$32.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $10.72	Professional		$10.72	$10.72	$10.72
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $22.91 / $22.91 / $22.91	Professional	CQ	$22.91	$22.91	$22.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $95.50 / $239.88	Facility		$77.62	$95.50	$239.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $32.36 / $75.86	Professional		$10.96	$32.36	$75.86
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $40.74 / $61.66	Facility		$17.38	$40.74	$61.66
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.05 / $41.69	Professional		$14.13	$19.05	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $85.11 / $316.23	Facility		$72.44	$85.11	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $16.60 / $34.67	Professional		$10.47	$16.60	$34.67
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $14.13 / $21.88	Professional		$10.72	$14.13	$21.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $15.49 / $27.54	Professional		$13.49	$15.49	$27.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $100.00 / $100.00	Facility		$89.13	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $91.20 / $120.23	Professional		$16.60	$91.20	$120.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $15.49 / $70.79	Professional		$12.30	$15.49	$70.79
Optum Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $30.90 / $39.81	Professional		$3.98	$30.90	$39.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $16.98 / $26.92	Facility		$10.72	$16.98	$26.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $16.98 / $38.02	Professional		$10.47	$16.98	$38.02
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $50.12	Professional		$3.98	$3.98	$50.12
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $20.89 / $30.20	Professional		$13.49	$20.89	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Facility		$14.45	$14.45	$14.45
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $15.49 / $30.20	Professional		$12.30	$15.49	$30.20