Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $46.77 / $91.20	Facility		$14.45	$46.77	$91.20
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $56.23 / $56.23 / $56.23	Facility	CQ	$56.23	$56.23	$56.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $14.13 / $34.67	Professional		$7.94	$14.13	$34.67
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $8.51 / $22.91 / $30.20	Professional	CQ	$8.51	$22.91	$30.20
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 / $31.62 / $75.86	Professional		$10.96	$31.62	$75.86
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $57.54 / $100.00	Facility		$26.30	$57.54	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $18.62 / $40.74	Professional		$13.18	$18.62	$40.74
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 $8.91 / $15.49 / $34.67	Professional		$8.91	$15.49	$34.67
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $14.13 / $18.62	Professional		$10.72	$14.13	$18.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $13.18 / $22.91	Professional		$11.22	$13.18	$22.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $79.43 / $100.00	Facility		$16.22	$79.43	$100.00
Lucent Health Facility/Professional Facility Modifier CQ Low / Median / High Price $63.10 / $63.10 / $63.10	Facility	CQ	$63.10	$63.10	$63.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $26.30 / $97.72	Professional		$13.49	$26.30	$97.72
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 $10.00 / $15.14 / $25.70	Facility		$10.00	$15.14	$25.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $16.22 / $35.48	Professional		$8.91	$16.22	$35.48
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $40.74	Professional		$3.98	$3.98	$40.74
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $20.89 / $30.20	Professional		$12.02	$20.89	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Facility		$12.02	$12.02	$12.02
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $13.80 / $25.70	Professional		$10.47	$13.80	$25.70