Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $9.12 / $22.39	Facility	26	$7.08	$9.12	$22.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.84 / $97.72	Professional		$19.95	$28.84	$97.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $10.96 / $33.88	Professional	26	$6.03	$10.96	$33.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.88 / $18.62 / $48.98	Professional	TC	$12.88	$18.62	$48.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.62 / $54.95	Professional		$18.20	$18.62	$54.95
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $13.80 / $18.20	Professional	26	$8.91	$13.80	$18.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $33.88 / $66.07	Professional		$24.55	$33.88	$66.07
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $10.96 / $20.89	Professional	26	$8.13	$10.96	$20.89
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $22.39 / $44.67	Professional	TC	$16.60	$22.39	$44.67
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $34.67 / $67.61	Professional		$24.55	$34.67	$67.61
Blue Shield Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $10.96 / $20.42	Professional	26	$8.32	$10.96	$20.42
Blue Shield Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $23.44 / $46.77	Professional	TC	$16.22	$23.44	$46.77
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $1.86 / $8.71 / $12.59	Facility	26	$1.86	$8.71	$12.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $30.90 / $57.54	Professional		$19.95	$30.90	$57.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $9.77 / $19.05	Professional	26	$6.61	$9.77	$19.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.80 / $20.89 / $40.74	Professional	TC	$13.80	$20.89	$40.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $30.90 / $41.69	Professional		$17.38	$30.90	$41.69
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $5.89 / $8.91 / $12.02	Professional	26	$5.89	$8.91	$12.02
Contra Costa Health Facility/Professional Professional Modifier TC Low / Median / High Price $11.48 / $22.39 / $30.20	Professional	TC	$11.48	$22.39	$30.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $29.51 / $51.29	Professional		$22.91	$29.51	$51.29
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $10.23 / $16.60	Professional	26	$7.59	$10.23	$16.60
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $23.99 / $41.69	Professional	TC	$18.62	$23.99	$41.69
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 $204.17 / $204.17 / $537.03	Professional		$204.17	$204.17	$537.03
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $63.10 / $63.10	Professional	26	$63.10	$63.10	$63.10
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $141.25 / $501.19	Professional	TC	$141.25	$141.25	$501.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $28.18 / $33.11	Professional		$9.12	$28.18	$33.11
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $1.86 / $8.71 / $12.59	Facility	26	$1.86	$8.71	$12.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $31.62 / $61.66	Professional		$20.42	$31.62	$61.66
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $9.12 / $17.78	Professional	26	$6.46	$9.12	$17.78
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $13.80 / $20.42 / $38.90	Professional	TC	$13.80	$20.42	$38.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
Sutter Health Plus Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $26.30 / $26.30	Professional	26	$26.30	$26.30	$26.30
Sutter Health Plus Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $53.70 / $53.70	Professional	TC	$53.70	$53.70	$53.70
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $32.36 / $42.66	Professional		$25.12	$32.36	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $24.55 / $51.29	Professional		$17.78	$24.55	$51.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $5.89 / $8.32 / $16.60	Professional	26	$5.89	$8.32	$16.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $12.59 / $16.22 / $35.48	Professional	TC	$12.59	$16.22	$35.48