Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.50 / $38.99 / $90.20	Facility		$13.50	$38.99	$90.20
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $56.73 / $56.73 / $56.73	Facility	CQ	$56.73	$56.73	$56.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.89 / $14.20 / $23.00	Professional		$8.89	$14.20	$23.00
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $21.39 / $21.39 / $30.10	Professional	CQ	$21.39	$21.39	$30.10
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 $2.82 / $13.28 / $64.31	Professional		$2.82	$13.28	$64.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $27.34 / $60.22 / $97.40	Facility		$27.34	$60.22	$97.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $11.12 / $15.68 / $27.92	Professional		$11.12	$15.68	$27.92
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 $9.00 / $15.90 / $58.67	Professional		$9.00	$15.90	$58.67
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10.69 / $14.13 / $17.85	Professional		$10.69	$14.13	$17.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.93 / $12.85 / $23.15	Professional		$10.93	$12.85	$23.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $44.31 / $80.00 / $100.00	Facility		$44.31	$80.00	$100.00
Lucent Health Facility/Professional Facility Modifier CQ Low / Median / High Price $15.54 / $48.48 / $51.93	Facility	CQ	$15.54	$48.48	$51.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15.94 / $83.97 / $98.63	Professional		$15.94	$83.97	$98.63
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 $10.00 / $17.23 / $57.81	Professional		$10.00	$17.23	$57.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $40.61 / $40.61	Professional		$4.00	$40.61	$40.61
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $11.54 / $16.62 / $28.77	Professional		$11.54	$16.62	$28.77
United Facility/Professional Professional Modifier Low / Median / High Price $11.20 / $14.01 / $31.65	Professional		$11.20	$14.01	$31.65