Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $35.48 / $112.20	Facility		$12.02	$35.48	$112.20
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $51.29 / $263.03 / $457.09	Facility	CQ	$51.29	$263.03	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $14.13 / $51.29	Professional		$7.94	$14.13	$51.29
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $35.48 / $35.48 / $41.69	Professional	CO	$35.48	$35.48	$41.69
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $11.48 / $19.05 / $34.67	Professional	CQ	$11.48	$19.05	$34.67
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 $9.33 / $25.12 / $75.86	Professional		$9.33	$25.12	$75.86
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $32.36 / $47.86	Facility		$12.59	$32.36	$47.86
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $15.14 / $34.67	Professional		$11.75	$15.14	$34.67
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 $9.12 / $13.80 / $30.20	Professional		$9.12	$13.80	$30.20
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $9.33 / $22.39	Professional		$7.08	$9.33	$22.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $15.85 / $27.54	Professional		$13.49	$15.85	$27.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $89.13 / $100.00	Facility		$19.05	$89.13	$100.00
Lucent Health Facility/Professional Facility Modifier CQ Low / Median / High Price $75.86 / $75.86 / $75.86	Facility	CQ	$75.86	$75.86	$75.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $21.88 / $117.49	Professional		$15.85	$21.88	$117.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $10.47 / $70.79	Professional		$8.13	$10.47	$70.79
Optum Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $30.90 / $39.81	Professional		$10.00	$30.90	$39.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $15.85 / $24.55	Facility		$9.12	$15.85	$24.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $14.45 / $35.48	Professional		$9.12	$14.45	$35.48
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $47.86 / $75.86	Professional		$10.00	$47.86	$75.86
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $14.79 / $20.42	Professional		$8.91	$14.79	$20.42
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 $10.23 / $14.13 / $28.84	Professional		$10.23	$14.13	$28.84