Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.40 / $129.68 / $355.92	Facility		$14.40	$129.68	$355.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $28.85 / $106.91	Professional		$14.40	$28.85	$106.91
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $107.20 / $107.20 / $107.20	Professional	CQ	$107.20	$107.20	$107.20
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 $5.44 / $32.68 / $112.50	Professional		$5.44	$32.68	$112.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $50.60 / $92.60 / $204.64	Facility		$50.60	$92.60	$204.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $25.48 / $35.95 / $64.23	Professional		$25.48	$35.95	$64.23
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 $28.68 / $54.94 / $113.98	Professional		$28.68	$54.94	$113.98
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $13.37 / $17.67 / $58.01	Professional		$13.37	$17.67	$58.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.54 / $41.12 / $71.95	Professional		$34.54	$41.12	$71.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $82.09 / $136.66 / $195.32	Facility		$82.09	$136.66	$195.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $233.94 / $233.94 / $309.08	Professional		$233.94	$233.94	$309.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $51.36 / $70.00	Professional		$15.32	$51.36	$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 $29.78 / $57.00 / $112.19	Professional		$29.78	$57.00	$112.19
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $128.71 / $128.71 / $128.71	Professional		$128.71	$128.71	$128.71
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $17.67 / $33.97 / $45.62	Professional		$17.67	$33.97	$45.62
United Facility/Professional Professional Modifier Low / Median / High Price $31.07 / $39.70 / $87.68	Professional		$31.07	$39.70	$87.68