Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.73 / $84.70 / $500.94	Facility	26	$81.73	$84.70	$500.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.59 / $429.18 / $700.21	Professional		$233.59	$429.18	$700.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.21 / $308.08 / $647.04	Professional		$151.21	$308.08	$647.04
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $191.20 / $285.24 / $690.82	Professional		$191.20	$285.24	$690.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.33 / $443.15 / $1,122.06	Professional		$253.33	$443.15	$1,122.06
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $63.29 / $95.78 / $687.77	Professional		$63.29	$95.78	$687.77
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $25.32 / $38.32 / $128.26	Professional	26	$25.32	$38.32	$128.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $383.15 / $485.82 / $789.66	Professional		$383.15	$485.82	$789.66
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $80.43 / $95.58 / $172.22	Professional	26	$80.43	$95.58	$172.22
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $344.40 / $419.33 / $433.72	Facility	26	$344.40	$419.33	$433.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,885.70 / $3,193.76 / $3,369.08	Professional		$2,885.70	$3,193.76	$3,369.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $598.65	Professional		$32.34	$32.34	$598.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $260.72 / $564.11 / $1,136.84	Professional		$260.72	$564.11	$1,136.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,245.85 / $1,245.85 / $1,245.85	Professional		$1,245.85	$1,245.85	$1,245.85
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $82.28 / $143.66 / $566.14	Professional		$82.28	$143.66	$566.14
United Facility/Professional Professional Modifier Low / Median / High Price $228.26 / $361.76 / $971.70	Professional		$228.26	$361.76	$971.70