Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.33 / $207.64 / $207.64	Facility		$182.33	$207.64	$207.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.02 / $182.33 / $207.64	Professional		$170.02	$182.33	$207.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $98.72 / $126.90 / $317.31	Professional		$98.72	$126.90	$317.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.38 / $164.86 / $174.85	Professional		$159.38	$164.86	$174.85
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $203.82 / $203.82 / $224.20	Professional		$203.82	$203.82	$224.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $167.70 / $215.36 / $424.39	Professional		$167.70	$215.36	$424.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $336.48 / $934.12 / $934.12	Facility		$336.48	$934.12	$934.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,215.07 / $1,215.07 / $1,506.98	Professional		$1,215.07	$1,215.07	$1,506.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.86 / $260.73 / $319.75	Facility		$186.86	$260.73	$319.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $159.38 / $166.28 / $190.26	Professional		$159.38	$166.28	$190.26
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $652.15 / $652.15 / $652.15	Professional		$652.15	$652.15	$652.15
United Facility/Professional Professional Modifier Low / Median / High Price $160.16 / $227.23 / $483.58	Professional		$160.16	$227.23	$483.58