Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.03 / $81.03 / $90.36	Facility		$81.03	$81.03	$90.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.19 / $80.86 / $101.24	Professional		$68.19	$80.86	$101.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $68.16 / $97.37 / $229.09	Professional		$68.16	$97.37	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.82 / $105.82 / $105.82	Facility		$105.82	$105.82	$105.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.45 / $79.45 / $79.45	Professional		$79.45	$79.45	$79.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $88.97 / $97.87 / $120.11	Professional		$88.97	$97.87	$120.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.53 / $104.65 / $159.40	Professional		$78.53	$104.65	$159.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $155.34 / $449.39 / $449.39	Facility		$155.34	$449.39	$449.39
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $558.22 / $567.27 / $724.28	Professional		$558.22	$567.27	$724.28
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 $80.20 / $102.29 / $143.19	Facility		$80.20	$102.29	$143.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.45 / $79.45 / $227.90	Professional		$79.45	$79.45	$227.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $294.14 / $294.14 / $294.14	Professional		$294.14	$294.14	$294.14
United Facility/Professional Professional Modifier Low / Median / High Price $74.20 / $98.38 / $204.61	Professional		$74.20	$98.38	$204.61