Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.26 / $133.22 / $536.24	Facility		$20.26	$133.22	$536.24
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $21.77 / $174.00 / $537.75	Facility	CQ	$21.77	$174.00	$537.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $26.19 / $127.00	Professional		$13.00	$26.19	$127.00
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $72.70 / $72.70 / $72.70	Professional	CO	$72.70	$72.70	$72.70
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $15.48 / $38.38 / $117.00	Professional	CQ	$15.48	$38.38	$117.00
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 $4.54 / $24.06 / $88.31	Professional		$4.54	$24.06	$88.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $37.51 / $71.20 / $115.08	Facility		$37.51	$71.20	$115.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $22.25 / $30.83 / $55.71	Professional		$22.25	$30.83	$55.71
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 $20.48 / $43.87 / $111.17	Professional		$20.48	$43.87	$111.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $22.21 / $33.64 / $42.05	Professional		$22.21	$33.64	$42.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.64 / $30.28 / $55.00	Professional		$25.64	$30.28	$55.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $41.21 / $127.16 / $143.31	Facility		$41.21	$127.16	$143.31
Lucent Health Facility/Professional Facility Modifier CQ Low / Median / High Price $36.54 / $108.09 / $121.81	Facility	CQ	$36.54	$108.09	$121.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $33.50 / $171.17 / $228.30	Professional		$33.50	$171.17	$228.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.43 / $32.34 / $70.00	Professional		$24.43	$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 $21.47 / $47.00 / $108.10	Professional		$21.47	$47.00	$108.10
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $92.90 / $92.90	Professional		$11.00	$92.90	$92.90
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $27.20 / $37.40 / $60.62	Professional		$27.20	$37.40	$60.62
United Facility/Professional Professional Modifier Low / Median / High Price $23.10 / $28.87 / $63.25	Professional		$23.10	$28.87	$63.25