Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.43 / $8.85 / $53.19	Facility	26	$8.43	$8.85	$53.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.69 / $34.29 / $130.25	Professional		$26.69	$34.29	$130.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.56 / $8.85 / $24.35	Professional	26	$7.56	$8.85	$24.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.53 / $60.94 / $60.94	Professional		$30.53	$60.94	$60.94
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $13.57 / $19.48 / $19.48	Professional	26	$13.57	$19.48	$19.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.19 / $38.39 / $76.36	Professional		$28.19	$38.39	$76.36
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.47 / $11.96 / $23.89	Professional	26	$9.47	$11.96	$23.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $29.79 / $37.99 / $92.92	Professional		$29.79	$37.99	$92.92
Blue Shield Facility/Professional Professional Modifier 26 Low / Median / High Price $8.38 / $10.67 / $25.29	Professional	26	$8.38	$10.67	$25.29
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.01 / $10.01 / $10.01	Facility	26	$10.01	$10.01	$10.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.16 / $40.50 / $89.07	Professional		$28.16	$40.50	$89.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.91 / $11.05 / $24.34	Professional	26	$7.91	$11.05	$24.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $24.45 / $44.72 / $60.37	Professional		$24.45	$44.72	$60.37
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $7.09 / $9.69 / $13.08	Professional	26	$7.09	$9.69	$13.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.68 / $44.36 / $73.67	Professional		$33.68	$44.36	$73.67
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
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $24.54 / $100.00 / $100.00	Facility	26	$24.54	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $233.00 / $233.00 / $289.35	Professional		$233.00	$233.00	$289.35
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $97.41 / $97.41 / $97.41	Professional	26	$97.41	$97.41	$97.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.72 / $32.34 / $32.34	Professional		$28.72	$32.34	$32.34
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $10.01 / $10.01 / $10.01	Facility	26	$10.01	$10.01	$10.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.49 / $44.65 / $93.44	Professional		$28.49	$44.65	$93.44
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $7.95 / $10.90 / $24.00	Professional	26	$7.95	$10.90	$24.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $110.98 / $110.98 / $110.98	Professional		$110.98	$110.98	$110.98
Sutter Health Plus Facility/Professional Professional Modifier 26 Low / Median / High Price $29.79 / $29.79 / $29.79	Professional	26	$29.79	$29.79	$29.79
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $36.15 / $49.10 / $59.62	Professional		$36.15	$49.10	$59.62
United Facility/Professional Professional Modifier Low / Median / High Price $22.17 / $33.92 / $112.30	Professional		$22.17	$33.92	$112.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.81 / $9.55 / $22.21	Professional	26	$6.81	$9.55	$22.21