Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.40 / $62.12 / $149.25	Facility		$14.40	$62.12	$149.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.71 / $14.40 / $48.45	Professional		$10.71	$14.40	$48.45
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $12.70 / $17.45 / $17.45	Professional	CQ	$12.70	$17.45	$17.45
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 $3.60 / $15.73 / $75.00	Professional		$3.60	$15.73	$75.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $28.68 / $57.50 / $92.60	Facility		$28.68	$57.50	$92.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $13.55 / $18.67 / $33.68	Professional		$13.55	$18.67	$33.68
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 $12.39 / $22.34 / $104.21	Professional		$12.39	$22.34	$104.21
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $21.37 / $21.37 / $28.85	Professional		$21.37	$21.37	$28.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.38 / $19.23 / $32.76	Professional		$16.38	$19.23	$32.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $67.50 / $91.53 / $100.00	Facility		$67.50	$91.53	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $23.78 / $154.06 / $154.06	Professional		$23.78	$154.06	$154.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.89 / $32.34 / $70.00	Professional		$14.89	$32.34	$70.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.18 / $21.02 / $29.06	Facility		$14.18	$21.02	$29.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.81 / $23.92 / $105.33	Professional		$12.81	$23.92	$105.33
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $60.50 / $60.50 / $60.50	Professional		$60.50	$60.50	$60.50
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $18.93 / $23.75	Professional		$8.52	$18.93	$23.75
United Facility/Professional Professional Modifier Low / Median / High Price $15.02 / $18.77 / $50.47	Professional		$15.02	$18.77	$50.47