Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.02 / $38.08 / $117.75	Facility		$9.02	$38.08	$117.75
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $50.94 / $265.38 / $265.38	Facility	CQ	$50.94	$265.38	$265.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.22 / $13.09 / $47.19	Professional		$8.22	$13.09	$47.19
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $35.11 / $35.11 / $35.11	Professional	CO	$35.11	$35.11	$35.11
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 $2.91 / $11.50 / $73.18	Professional		$2.91	$11.50	$73.18
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $13.53 / $32.47 / $50.75	Facility		$13.53	$32.47	$50.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $9.13 / $12.87 / $24.41	Professional		$9.13	$12.87	$24.41
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 $9.94 / $21.79 / $102.90	Professional		$9.94	$21.79	$102.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $7.13 / $9.42 / $21.46	Professional		$7.13	$9.42	$21.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.10 / $15.41 / $26.97	Professional		$13.10	$15.41	$26.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $52.81 / $80.00 / $100.00	Facility		$52.81	$80.00	$100.00
Lucent Health Facility/Professional Facility Modifier CQ Low / Median / High Price $18.64 / $55.33 / $62.22	Facility	CQ	$18.64	$55.33	$62.22
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19.03 / $89.91 / $117.68	Professional		$19.03	$89.91	$117.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.17 / $32.34 / $70.00	Professional		$8.17	$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 $10.41 / $27.95 / $105.33	Professional		$10.41	$27.95	$105.33
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $47.67 / $75.00	Professional		$10.00	$47.67	$75.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $9.42 / $15.35 / $19.18	Professional		$9.42	$15.35	$19.18
United Facility/Professional Professional Modifier Low / Median / High Price $10.34 / $14.80 / $31.60	Professional		$10.34	$14.80	$31.60