Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.95 / $42.98 / $246.51	Facility	26	$40.95	$42.98	$246.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.75 / $98.60 / $411.59	Professional		$80.75	$98.60	$411.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.52 / $59.52 / $228.12	Professional	26	$38.52	$59.52	$228.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.10 / $167.51 / $309.02	Professional		$122.10	$167.51	$309.02
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $59.73 / $78.28 / $150.52	Professional	26	$59.73	$78.28	$150.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $82.42 / $107.49 / $259.81	Professional		$82.42	$107.49	$259.81
Blue Shield Facility/Professional Professional Modifier 26 Low / Median / High Price $38.97 / $55.23 / $134.35	Professional	26	$38.97	$55.23	$134.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.91 / $120.66 / $368.96	Professional		$87.91	$120.66	$368.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.74 / $58.16 / $165.97	Professional	26	$44.74	$58.16	$165.97
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $72.59 / $104.57 / $125.48	Professional		$72.59	$104.57	$125.48
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $34.11 / $47.06 / $56.47	Professional	26	$34.11	$47.06	$56.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.91 / $116.88 / $209.35	Professional		$89.91	$116.88	$209.35
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $42.42 / $59.14 / $108.24	Professional	26	$42.42	$59.14	$108.24
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $108.26 / $210.41 / $216.03	Facility	26	$108.26	$210.41	$216.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $614.40 / $618.72 / $765.98	Professional		$614.40	$618.72	$765.98
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $314.88 / $320.32 / $408.38	Professional	26	$314.88	$320.32	$408.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $88.92 / $121.19 / $262.62	Professional		$88.92	$121.19	$262.62
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $45.10 / $57.79 / $137.68	Professional	26	$45.10	$57.79	$137.68
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $259.54 / $259.54 / $259.54	Professional		$259.54	$259.54	$259.54
Sutter Health Plus Facility/Professional Professional Modifier 26 Low / Median / High Price $142.28 / $142.28 / $142.28	Professional	26	$142.28	$142.28	$142.28
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $72.59 / $108.90 / $137.33	Professional		$72.59	$108.90	$137.33
United Facility/Professional Professional Modifier Low / Median / High Price $66.98 / $103.10 / $275.69	Professional		$66.98	$103.10	$275.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.24 / $52.44 / $146.41	Professional	26	$37.24	$52.44	$146.41