Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.14 / $12.80 / $85.16	Facility		$9.14	$12.80	$85.16
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $59.57 / $77.86 / $371.00	Facility	CQ	$59.57	$77.86	$371.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $9.60 / $47.02	Professional		$8.19	$9.60	$47.02
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $8.35 / $9.06 / $9.06	Professional	CQ	$8.35	$9.06	$9.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.55 / $18.77 / $270.00	Facility		$14.55	$18.77	$270.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.63 / $19.88 / $59.08	Professional		$14.63	$19.88	$59.08
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $18.55 / $31.20 / $41.12	Facility		$18.55	$31.20	$41.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $9.22 / $12.91 / $34.96	Professional		$9.22	$12.91	$34.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.31 / $11.31 / $11.31	Professional		$11.31	$11.31	$11.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $15.20 / $16.72 / $20.52	Professional		$15.20	$16.72	$20.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.18 / $16.64 / $31.12	Professional		$12.18	$16.64	$31.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $23.97 / $80.00 / $85.00	Facility		$23.97	$80.00	$85.00
Lucent Health Facility/Professional Facility Modifier CQ Low / Median / High Price $18.50 / $48.89 / $55.03	Facility	CQ	$18.50	$48.89	$55.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $76.98 / $76.98 / $104.25	Professional		$76.98	$76.98	$104.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.19 / $15.36 / $21.65	Facility		$10.19	$15.36	$21.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.31 / $11.31 / $25.16	Professional		$11.31	$11.31	$25.16
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $45.42 / $45.42 / $45.42	Professional		$45.42	$45.42	$45.42
United Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $13.26 / $30.89	Professional		$9.90	$13.26	$30.89