Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.39 / $69.39 / $77.59	Facility		$69.39	$69.39	$77.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.24 / $69.39 / $86.11	Professional		$59.24	$69.39	$86.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $58.75 / $83.93 / $197.47	Professional		$58.75	$83.93	$197.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.30 / $92.30 / $92.30	Facility		$92.30	$92.30	$92.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.04 / $69.04 / $69.04	Professional		$69.04	$69.04	$69.04
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $77.28 / $85.01 / $104.33	Professional		$77.28	$85.01	$104.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.22 / $90.90 / $138.50	Professional		$68.22	$90.90	$138.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $132.47 / $390.66 / $390.66	Facility		$132.47	$390.66	$390.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $485.00 / $493.61 / $629.54	Professional		$485.00	$493.61	$629.54
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 $69.29 / $88.86 / $124.42	Facility		$69.29	$88.86	$124.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.04 / $69.04 / $197.47	Professional		$69.04	$69.04	$197.47
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $252.76 / $252.76 / $252.76	Professional		$252.76	$252.76	$252.76
United Facility/Professional Professional Modifier Low / Median / High Price $63.28 / $84.62 / $184.10	Professional		$63.28	$84.62	$184.10