Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.33 / $8.88 / $53.19	Facility	26	$7.33	$8.88	$53.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.92 / $34.88 / $138.77	Professional		$24.92	$34.88	$138.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $10.88 / $42.45	Professional	26	$7.33	$10.88	$42.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.57 / $22.02 / $75.84	Professional	TC	$17.57	$22.02	$75.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.20 / $35.09 / $69.37	Professional		$26.20	$35.09	$69.37
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.42 / $9.89 / $19.69	Professional	26	$6.42	$9.89	$19.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.40 / $34.77 / $69.92	Professional		$25.40	$34.77	$69.92
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.99 / $11.30 / $21.90	Professional	26	$8.99	$11.30	$21.90
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.53 / $23.39 / $45.61	Professional	TC	$15.53	$23.39	$45.61
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $26.99 / $34.72 / $80.93	Professional		$26.99	$34.72	$80.93
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 $19.61 / $25.03 / $56.65	Professional	TC	$19.61	$25.03	$56.65
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 $25.20 / $36.90 / $84.30	Professional		$25.20	$36.90	$84.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.37 / $10.69 / $22.86	Professional	26	$7.37	$10.69	$22.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.84 / $25.78 / $62.13	Professional	TC	$17.84	$25.78	$62.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $40.59 / $54.80	Professional		$17.30	$40.59	$54.80
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $5.01 / $9.69 / $13.08	Professional	26	$5.01	$9.69	$13.08
Contra Costa Health Facility/Professional Professional Modifier TC Low / Median / High Price $12.28 / $30.90 / $41.72	Professional	TC	$12.28	$30.90	$41.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.83 / $40.35 / $64.86	Professional		$29.83	$40.35	$64.86
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 $24.72 / $35.81 / $58.03	Professional	TC	$24.72	$35.81	$58.03
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $202.27 / $202.27 / $263.85	Professional		$202.27	$202.27	$263.85
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $111.75 / $111.75 / $111.75	Professional	26	$111.75	$111.75	$111.75
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $146.99 / $146.99 / $193.58	Professional	TC	$146.99	$146.99	$193.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.42 / $32.34 / $32.34	Professional		$25.42	$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 $26.05 / $41.69 / $84.46	Professional		$26.05	$41.69	$84.46
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $7.40 / $10.58 / $22.43	Professional	26	$7.40	$10.58	$22.43
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $17.86 / $25.25 / $60.09	Professional	TC	$17.86	$25.25	$60.09
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $101.37 / $101.37 / $101.37	Professional		$101.37	$101.37	$101.37
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
Sutter Health Plus Facility/Professional Professional Modifier TC Low / Median / High Price $71.56 / $71.56 / $71.56	Professional	TC	$71.56	$71.56	$71.56
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $25.96 / $36.93 / $45.13	Professional		$25.96	$36.93	$45.13
United Facility/Professional Professional Modifier Low / Median / High Price $20.19 / $31.04 / $77.77	Professional		$20.19	$31.04	$77.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.64 / $9.40 / $23.08	Professional	26	$6.64	$9.40	$23.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.64 / $21.66 / $55.31	Professional	TC	$13.64	$21.66	$55.31