Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.78 / $8.14 / $48.75	Facility	26	$7.78	$8.14	$48.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.85 / $34.11 / $144.00	Professional		$25.85	$34.11	$144.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.98 / $8.55 / $29.62	Professional	26	$6.98	$8.55	$29.62
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $59.24 / $59.24 / $59.24	Professional	50	$59.24	$59.24	$59.24
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.64 / $23.10 / $59.10	Professional	TC	$17.64	$23.10	$59.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.22 / $33.32 / $43.36	Professional		$27.22	$33.32	$43.36
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.58 / $9.63 / $19.48	Professional	26	$6.58	$9.63	$19.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $35.78 / $70.09	Professional		$25.12	$35.78	$70.09
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.99 / $11.20 / $22.17	Professional	26	$8.99	$11.20	$22.17
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $30.75 / $37.71 / $62.20	Professional	50	$30.75	$37.71	$62.20
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.48 / $24.60 / $48.27	Professional	TC	$16.48	$24.60	$48.27
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $27.36 / $34.50 / $84.31	Professional		$27.36	$34.50	$84.31
Blue Shield Facility/Professional Professional Modifier 26 Low / Median / High Price $7.72 / $9.80 / $24.81	Professional	26	$7.72	$9.80	$24.81
Blue Shield Facility/Professional Professional Modifier TC Low / Median / High Price $19.48 / $24.57 / $56.65	Professional	TC	$19.48	$24.57	$56.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.67 / $9.67 / $9.67	Facility	26	$9.67	$9.67	$9.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.87 / $37.07 / $81.77	Professional		$24.87	$37.07	$81.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.34 / $10.63 / $22.51	Professional	26	$7.34	$10.63	$22.51
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $38.29 / $38.29 / $43.42	Professional	50	$38.29	$38.29	$43.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.53 / $26.60 / $65.92	Professional	TC	$17.53	$26.60	$65.92
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $24.68 / $42.88 / $57.89	Professional		$24.68	$42.88	$57.89
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $7.16 / $9.69 / $13.08	Professional	26	$7.16	$9.69	$13.08
Contra Costa Health Facility/Professional Professional Modifier TC Low / Median / High Price $17.52 / $33.19 / $44.81	Professional	TC	$17.52	$33.19	$44.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.47 / $42.31 / $69.00	Professional		$31.47	$42.31	$69.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $8.56 / $11.63 / $18.22	Professional	26	$8.56	$11.63	$18.22
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $26.55 / $38.46 / $62.33	Professional	TC	$26.55	$38.46	$62.33
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $27.00 / $100.00 / $100.00	Facility	26	$27.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $208.77 / $208.77 / $278.02	Professional		$208.77	$208.77	$278.02
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $82.56 / $82.56 / $82.56	Professional	26	$82.56	$82.56	$82.56
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $153.47 / $153.47 / $207.68	Professional	TC	$153.47	$153.47	$207.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.52 / $32.34 / $32.34	Professional		$26.52	$32.34	$32.34
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $9.67 / $9.67 / $9.67	Facility	26	$9.67	$9.67	$9.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.37 / $41.44 / $87.15	Professional		$26.37	$41.44	$87.15
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $7.34 / $10.58 / $22.38	Professional	26	$7.34	$10.58	$22.38
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $17.53 / $25.93 / $59.54	Professional	TC	$17.53	$25.93	$59.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $102.62 / $102.62 / $102.62	Professional		$102.62	$102.62	$102.62
Sutter Health Plus Facility/Professional Professional Modifier 26 Low / Median / High Price $27.44 / $27.44 / $27.44	Professional	26	$27.44	$27.44	$27.44
Sutter Health Plus Facility/Professional Professional Modifier TC Low / Median / High Price $75.18 / $75.18 / $75.18	Professional	TC	$75.18	$75.18	$75.18
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $34.68 / $47.69 / $81.97	Professional		$34.68	$47.69	$81.97
United Facility/Professional Professional Modifier Low / Median / High Price $21.02 / $31.57 / $78.81	Professional		$21.02	$31.57	$78.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.64 / $9.33 / $23.16	Professional	26	$6.64	$9.33	$23.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.38 / $22.74 / $65.61	Professional	TC	$14.38	$22.74	$65.61