Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $141.25 / $208.93 / $478.63	Facility	26	$141.25	$208.93	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $478.63 / $1,737.80	Professional		$275.42	$478.63	$1,737.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional		$1,445.44	$1,445.44	$1,445.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $741.31 / $1,230.27	Professional		$426.58	$741.31	$1,230.27
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $676.08 / $1,202.26	Professional		$478.63	$676.08	$1,202.26
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.62 / $87.10 / $125.89	Facility	26	$18.62	$87.10	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $537.03 / $977.24	Professional		$269.15	$537.03	$977.24
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $354.81 / $478.63	Professional		$263.03	$354.81	$478.63
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $85.11 / $114.82	Professional	26	$60.26	$85.11	$114.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $354.81 / $691.83	Professional		$263.03	$354.81	$691.83
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $102.33 / $190.55	Professional	26	$77.62	$102.33	$190.55
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $707.95 / $707.95 / $707.95	Facility	26	$707.95	$707.95	$707.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Professional		$3,467.37	$3,467.37	$3,467.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $91.20 / $354.81	Professional		$32.36	$91.20	$354.81
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $18.62 / $87.10 / $125.89	Facility	26	$18.62	$87.10	$125.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $549.54 / $912.01	Professional		$269.15	$549.54	$912.01
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $346.74 / $446.68	Professional		$263.03	$346.74	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $416.87 / $831.76	Professional		$269.15	$416.87	$831.76