Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.92 / $31.92 / $35.69	Facility		$31.92	$31.92	$35.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.31 / $31.92 / $39.63	Professional		$27.31	$31.92	$39.63
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $27.02 / $38.60 / $98.05	Professional		$27.02	$38.60	$98.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.40 / $42.40 / $42.40	Facility		$42.40	$42.40	$42.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.84 / $31.84 / $31.84	Professional		$31.84	$31.84	$31.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $35.58 / $39.14 / $48.03	Professional		$35.58	$39.14	$48.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.44 / $41.86 / $64.04	Professional		$31.44	$41.86	$64.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $60.96 / $180.58 / $180.58	Facility		$60.96	$180.58	$180.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $223.48 / $226.80 / $290.77	Professional		$223.48	$226.80	$290.77
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 $31.92 / $40.92 / $57.33	Facility		$31.92	$40.92	$57.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.84 / $31.84 / $90.68	Professional		$31.84	$31.84	$90.68
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $116.91 / $116.91 / $116.91	Professional		$116.91	$116.91	$116.91
United Facility/Professional Professional Modifier Low / Median / High Price $29.12 / $38.85 / $85.61	Professional		$29.12	$38.85	$85.61