Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.04 / $87.86 / $329.73	Facility		$19.04	$87.86	$329.73
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $61.38 / $174.00 / $522.00	Facility	CQ	$61.38	$174.00	$522.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $19.30 / $106.06	Professional		$14.40	$19.30	$106.06
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $21.66 / $21.66 / $21.66	Professional	CQ	$21.66	$21.66	$21.66
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 $4.51 / $23.48 / $85.09	Professional		$4.51	$23.48	$85.09
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $36.36 / $70.84 / $111.21	Facility		$36.36	$70.84	$111.21
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $19.69 / $27.09 / $48.94	Professional		$19.69	$27.09	$48.94
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 $20.47 / $44.26 / $106.98	Professional		$20.47	$44.26	$106.98
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10.82 / $14.31 / $44.65	Professional		$10.82	$14.31	$44.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.20 / $32.15 / $61.12	Professional		$27.20	$32.15	$61.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $134.74 / $152.00	Facility		$80.00	$134.74	$152.00
Lucent Health Facility/Professional Facility Modifier CQ Low / Median / High Price $38.76 / $114.53 / $129.19	Facility	CQ	$38.76	$114.53	$129.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $46.44 / $186.26 / $241.95	Professional		$46.44	$186.26	$241.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.40 / $32.34 / $70.00	Professional		$12.40	$32.34	$70.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.43 / $33.15 / $44.48	Facility		$20.43	$33.15	$44.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $48.00 / $102.90	Professional		$21.05	$48.00	$102.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $100.01 / $100.01	Professional		$11.00	$100.01	$100.01
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $27.51 / $36.95	Professional		$14.31	$27.51	$36.95
United Facility/Professional Professional Modifier Low / Median / High Price $22.40 / $31.04 / $67.70	Professional		$22.40	$31.04	$67.70