Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.18 / $7.53 / $46.81	Facility	26	$7.18	$7.53	$46.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.52 / $25.60 / $70.63	Professional		$20.52	$25.60	$70.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.74 / $8.00 / $32.67	Professional	26	$6.74	$8.00	$32.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.09 / $17.14 / $42.45	Professional	TC	$14.09	$17.14	$42.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.35 / $31.84 / $45.62	Professional		$17.35	$31.84	$45.62
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.67 / $6.58 / $17.37	Professional	26	$5.67	$6.58	$17.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.75 / $30.30 / $59.87	Professional		$22.75	$30.30	$59.87
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.00 / $10.11 / $19.48	Professional	26	$8.00	$10.11	$19.48
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $14.90 / $20.26 / $40.51	Professional	TC	$14.90	$20.26	$40.51
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $20.98 / $27.09 / $65.89	Professional		$20.98	$27.09	$65.89
Blue Shield Facility/Professional Professional Modifier 26 Low / Median / High Price $7.09 / $9.00 / $21.50	Professional	26	$7.09	$9.00	$21.50
Blue Shield Facility/Professional Professional Modifier TC Low / Median / High Price $14.37 / $18.23 / $47.15	Professional	TC	$14.37	$18.23	$47.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.86 / $8.86 / $8.86	Facility	26	$8.86	$8.86	$8.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.22 / $30.66 / $64.06	Professional		$20.22	$30.66	$64.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.74 / $9.52 / $20.77	Professional	26	$6.74	$9.52	$20.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.76 / $21.08 / $47.27	Professional	TC	$13.76	$21.08	$47.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $31.16 / $42.07	Professional		$17.30	$31.16	$42.07
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $5.88 / $8.52 / $11.52	Professional	26	$5.88	$8.52	$11.52
Contra Costa Health Facility/Professional Professional Modifier TC Low / Median / High Price $11.42 / $22.63 / $30.55	Professional	TC	$11.42	$22.63	$30.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.02 / $31.14 / $51.72	Professional		$23.02	$31.14	$51.72
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $7.55 / $10.24 / $16.19	Professional	26	$7.55	$10.24	$16.19
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $18.10 / $26.25 / $42.55	Professional	TC	$18.10	$26.25	$42.55
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 $204.98 / $542.00 / $542.00	Professional		$204.98	$542.00	$542.00
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $62.74 / $62.74 / $62.74	Professional	26	$62.74	$62.74	$62.74
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $142.65 / $498.00 / $498.00	Professional	TC	$142.65	$498.00	$498.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $32.34 / $32.34	Professional		$18.80	$32.34	$32.34
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $8.86 / $8.86 / $8.86	Facility	26	$8.86	$8.86	$8.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.63 / $33.42 / $65.59	Professional		$20.63	$33.42	$65.59
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $6.74 / $9.47 / $20.47	Professional	26	$6.74	$9.47	$20.47
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $13.76 / $20.90 / $44.73	Professional	TC	$13.76	$20.90	$44.73
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $79.83 / $79.83 / $79.83	Professional		$79.83	$79.83	$79.83
Sutter Health Plus Facility/Professional Professional Modifier 26 Low / Median / High Price $26.29 / $26.29 / $26.29	Professional	26	$26.29	$26.29	$26.29
Sutter Health Plus Facility/Professional Professional Modifier TC Low / Median / High Price $53.54 / $53.54 / $53.54	Professional	TC	$53.54	$53.54	$53.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $25.19 / $34.64 / $42.20	Professional		$25.19	$34.64	$42.20
United Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $25.13 / $60.90	Professional		$17.89	$25.13	$60.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.08 / $8.41 / $19.53	Professional	26	$6.08	$8.41	$19.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $12.50 / $17.50 / $46.73	Professional	TC	$12.50	$17.50	$46.73