Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.54 / $164.11 / $522.00	Facility		$24.54	$164.11	$522.00
Aetna Facility/Professional Facility Modifier CO Low / Median / High Price $70.73 / $261.38 / $362.00	Facility	CO	$70.73	$261.38	$362.00
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $46.86 / $184.50 / $369.00	Facility	CQ	$46.86	$184.50	$369.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $31.85 / $211.65	Professional		$14.40	$31.85	$211.65
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $152.00 / $152.00 / $152.00	Professional	CO	$152.00	$152.00	$152.00
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $34.93 / $47.10 / $125.89	Professional	CQ	$34.93	$47.10	$125.89
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $24.19 / $24.19 / $24.19	Professional	CQ	$24.19	$24.19	$24.19
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 / $27.47 / $111.75	Professional		$4.54	$27.47	$111.75
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $45.10 / $83.09 / $149.22	Facility		$45.10	$83.09	$149.22
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $23.28 / $32.78 / $60.57	Professional		$23.28	$32.78	$60.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $96.04 / $315.00	Facility		$72.00	$96.04	$315.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.22 / $52.54 / $113.94	Professional		$25.22	$52.54	$113.94
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10.69 / $14.13 / $55.11	Professional		$10.69	$14.13	$55.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $39.00 / $75.00	Professional		$30.00	$39.00	$75.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $72.76 / $161.97 / $185.25	Facility		$72.76	$161.97	$185.25
Lucent Health Facility/Professional Facility Modifier CO Low / Median / High Price $47.18 / $137.66 / $157.46	Facility	CO	$47.18	$137.66	$157.46
Lucent Health Facility/Professional Facility Modifier CQ Low / Median / High Price $47.18 / $137.66 / $157.46	Facility	CQ	$47.18	$137.66	$157.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $42.88 / $289.41 / $293.10	Professional		$42.88	$289.41	$293.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.25 / $51.18 / $95.00	Professional		$12.25	$51.18	$95.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $96.04 / $315.00	Facility		$72.00	$96.04	$315.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.41 / $55.81 / $112.19	Professional		$27.41	$55.81	$112.19
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $131.32 / $131.32 / $131.32	Professional		$131.32	$131.32	$131.32
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $27.17 / $40.11	Professional		$14.13	$27.17	$40.11
United Facility/Professional Facility Modifier Low / Median / High Price $115.00 / $115.00 / $115.00	Facility		$115.00	$115.00	$115.00
United Facility/Professional Professional Modifier Low / Median / High Price $27.43 / $40.42 / $89.89	Professional		$27.43	$40.42	$89.89