Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.26 / $83.11 / $437.79	Facility	26	$80.26	$83.11	$437.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.61 / $259.69 / $1,143.00	Professional		$208.61	$259.69	$1,143.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.77 / $305.86 / $634.59	Professional		$195.77	$305.86	$634.59
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $170.88 / $275.12 / $656.28	Professional		$170.88	$275.12	$656.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.24 / $322.07 / $850.12	Professional		$218.24	$322.07	$850.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $42.44 / $64.22 / $315.83	Professional		$42.44	$64.22	$315.83
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $18.25 / $27.61 / $97.93	Professional	26	$18.25	$27.61	$97.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $214.52 / $286.85 / $504.86	Professional		$214.52	$286.85	$504.86
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $73.45 / $102.30 / $187.70	Professional	26	$73.45	$102.30	$187.70
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $174.23 / $339.11 / $363.28	Facility	26	$174.23	$339.11	$363.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,687.36 / $1,690.06 / $1,741.05	Professional		$1,687.36	$1,690.06	$1,741.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $220.34 / $335.02 / $686.58	Professional		$220.34	$335.02	$686.58
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $710.19 / $710.19 / $710.19	Professional		$710.19	$710.19	$710.19
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $42.44 / $74.93 / $292.58	Professional		$42.44	$74.93	$292.58
United Facility/Professional Professional Modifier Low / Median / High Price $167.84 / $275.14 / $728.81	Professional		$167.84	$275.14	$728.81