Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.78 / $105.78 / $117.94	Facility		$105.78	$105.78	$117.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.54 / $105.63 / $132.21	Professional		$89.54	$105.63	$132.21
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $88.95 / $126.61 / $298.97	Professional		$88.95	$126.61	$298.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.66 / $138.66 / $138.66	Facility		$138.66	$138.66	$138.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.45 / $104.45 / $104.45	Professional		$104.45	$104.45	$104.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $116.46 / $128.11 / $157.22	Professional		$116.46	$128.11	$157.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.99 / $137.06 / $209.36	Professional		$102.99	$137.06	$209.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $202.83 / $593.79 / $593.79	Facility		$202.83	$593.79	$593.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $729.32 / $741.56 / $955.65	Professional		$729.32	$741.56	$955.65
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 $104.91 / $134.04 / $187.09	Facility		$104.91	$134.04	$187.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.45 / $104.45 / $297.83	Professional		$104.45	$104.45	$297.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $383.28 / $383.28 / $383.28	Professional		$383.28	$383.28	$383.28
United Facility/Professional Professional Modifier Low / Median / High Price $96.60 / $129.54 / $271.47	Professional		$96.60	$129.54	$271.47