Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.93 / $15.93 / $17.78	Facility		$15.93	$15.93	$17.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.53 / $15.93 / $19.85	Professional		$13.53	$15.93	$19.85
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $13.43 / $19.18 / $48.80	Professional		$13.43	$19.18	$48.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.36 / $21.36 / $21.36	Facility		$21.36	$21.36	$21.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.77 / $15.77 / $15.77	Professional		$15.77	$15.77	$15.77
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $17.61 / $19.37 / $23.77	Professional		$17.61	$19.37	$23.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.56 / $20.72 / $31.70	Professional		$15.56	$20.72	$31.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $30.48 / $89.51 / $89.51	Facility		$30.48	$89.51	$89.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $113.84 / $113.84 / $144.08	Professional		$113.84	$113.84	$144.08
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 $15.93 / $20.27 / $28.53	Facility		$15.93	$20.27	$28.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.77 / $15.77 / $45.77	Professional		$15.77	$15.77	$45.77
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $58.52 / $58.52 / $58.52	Professional		$58.52	$58.52	$58.52
United Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $19.47 / $42.81	Professional		$14.40	$19.47	$42.81