Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.29 / $31.02 / $65.33	Facility		$23.29	$31.02	$65.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.28 / $45.97 / $77.63	Professional		$23.28	$45.97	$77.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $123.99 / $194.16	Facility		$92.60	$123.99	$194.16
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $50.72 / $89.10	Professional		$28.18	$50.72	$89.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.29 / $50.29 / $50.29	Professional		$50.29	$50.29	$50.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $66.77 / $66.77 / $80.12	Professional		$66.77	$66.77	$80.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.23 / $52.46 / $86.80	Professional		$28.23	$52.46	$86.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $161.10 / $161.10 / $166.92	Facility		$161.10	$161.10	$166.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $275.99 / $275.99 / $488.59	Professional		$275.99	$275.99	$488.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $50.00 / $60.00	Professional		$32.34	$50.00	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.70 / $50.26 / $80.43	Facility		$26.70	$50.26	$80.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.99 / $50.29 / $117.70	Professional		$44.99	$50.29	$117.70
United Facility/Professional Professional Modifier Low / Median / High Price $51.80 / $71.26 / $194.74	Professional		$51.80	$71.26	$194.74