Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.87 / $47.87 / $53.25	Facility		$47.87	$47.87	$53.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.39 / $47.87 / $59.98	Professional		$40.39	$47.87	$59.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.06 / $57.23 / $134.65	Professional		$40.06	$57.23	$134.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.56 / $62.56 / $62.56	Facility		$62.56	$62.56	$62.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.02 / $47.02 / $47.02	Professional		$47.02	$47.02	$47.02
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $52.28 / $57.51 / $70.58	Professional		$52.28	$57.51	$70.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.29 / $61.55 / $94.19	Professional		$46.29	$61.55	$94.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $92.03 / $268.17 / $268.17	Facility		$92.03	$268.17	$268.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $330.96 / $333.27 / $431.18	Professional		$330.96	$333.27	$431.18
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 $47.81 / $60.32 / $84.32	Facility		$47.81	$60.32	$84.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.02 / $47.02 / $133.91	Professional		$47.02	$47.02	$133.91
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $171.98 / $171.98 / $171.98	Professional		$171.98	$171.98	$171.98
United Facility/Professional Professional Modifier Low / Median / High Price $43.07 / $57.62 / $125.58	Professional		$43.07	$57.62	$125.58