Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.17 / $49.17 / $55.02	Facility		$49.17	$49.17	$55.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $49.17 / $60.92	Professional		$42.13	$49.17	$60.92
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $59.56 / $140.13	Professional		$41.69	$59.56	$140.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.03 / $65.03 / $65.03	Facility		$65.03	$65.03	$65.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.10 / $49.10 / $49.10	Professional		$49.10	$49.10	$49.10
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $60.45 / $74.18	Professional		$54.95	$60.45	$74.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.52 / $64.63 / $98.91	Professional		$48.52	$64.63	$98.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $93.79 / $277.93 / $277.93	Facility		$93.79	$277.93	$277.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $340.43 / $349.47 / $447.83	Professional		$340.43	$349.47	$447.83
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 $48.53 / $63.18 / $87.92	Facility		$48.53	$63.18	$87.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.10 / $49.10 / $138.99	Professional		$49.10	$49.10	$138.99
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $179.91 / $179.91 / $179.91	Professional		$179.91	$179.91	$179.91
United Facility/Professional Professional Modifier Low / Median / High Price $44.80 / $59.90 / $130.69	Professional		$44.80	$59.90	$130.69