Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.57 / $37.99 / $149.61	Professional		$28.57	$37.99	$149.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.11 / $7.94 / $33.47	Professional	26	$6.11	$7.94	$33.47
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.38 / $6.38 / $6.38	Professional	26	$6.38	$6.38	$6.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.30 / $42.12 / $85.81	Professional		$30.30	$42.12	$85.81
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.60 / $10.96 / $21.41	Professional	26	$8.60	$10.96	$21.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $35.83 / $45.77 / $101.11	Professional		$35.83	$45.77	$101.11
Blue Shield Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $9.40 / $22.36	Professional	26	$7.41	$9.40	$22.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.61 / $45.93 / $104.96	Professional		$29.61	$45.93	$104.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.85 / $10.23 / $21.35	Professional	26	$6.85	$10.23	$21.35
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $53.65 / $72.43	Professional		$17.30	$53.65	$72.43
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $3.63 / $8.99 / $12.14	Professional	26	$3.63	$8.99	$12.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.14 / $52.91 / $87.88	Professional		$40.14	$52.91	$87.88
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $7.90 / $10.79 / $16.89	Professional	26	$7.90	$10.79	$16.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $245.75 / $245.75 / $343.58	Professional		$245.75	$245.75	$343.58
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $56.13 / $56.13 / $65.18	Professional	26	$56.13	$56.13	$65.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.22 / $32.34 / $32.34	Professional		$29.22	$32.34	$32.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.33 / $51.82 / $104.63	Professional		$32.33	$51.82	$104.63
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $7.05 / $10.11 / $20.90	Professional	26	$7.05	$10.11	$20.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $130.32 / $130.32 / $130.32	Professional		$130.32	$130.32	$130.32
Sutter Health Plus Facility/Professional Professional Modifier 26 Low / Median / High Price $25.08 / $25.08 / $25.08	Professional	26	$25.08	$25.08	$25.08
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $25.96 / $44.68 / $59.66	Professional		$25.96	$44.68	$59.66
United Facility/Professional Professional Modifier Low / Median / High Price $26.27 / $39.70 / $98.40	Professional		$26.27	$39.70	$98.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.64 / $8.85 / $22.08	Professional	26	$6.64	$8.85	$22.08