Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.74 / $43.74 / $265.38	Facility	26	$41.74	$43.74	$265.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.70 / $130.69 / $642.25	Professional		$89.70	$130.69	$642.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.49 / $175.29 / $360.52	Professional		$125.49	$175.29	$360.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $160.26 / $365.79	Professional		$100.00	$160.26	$365.79
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.75 / $49.75 / $49.75	Facility	26	$49.75	$49.75	$49.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.95 / $188.05 / $351.51	Professional		$94.95	$188.05	$351.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $87.55 / $141.21 / $190.63	Professional		$87.55	$141.21	$190.63
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $38.52 / $47.89 / $64.65	Professional	26	$38.52	$47.89	$64.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.69 / $141.21 / $228.74	Professional		$104.69	$141.21	$228.74
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $42.42 / $57.47 / $90.03	Professional	26	$42.42	$57.47	$90.03
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $110.44 / $211.52 / $211.52	Facility	26	$110.44	$211.52	$211.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,286.55 / $1,325.15 / $1,325.15	Professional		$1,286.55	$1,325.15	$1,325.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $65.20	Professional		$32.34	$32.34	$65.20
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $49.75 / $49.75 / $49.75	Facility	26	$49.75	$49.75	$49.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.44 / $212.38 / $339.01	Professional		$102.44	$212.38	$339.01
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $369.57 / $369.57 / $369.57	Professional		$369.57	$369.57	$369.57
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $114.19 / $157.01 / $262.39	Professional		$114.19	$157.01	$262.39
United Facility/Professional Professional Modifier Low / Median / High Price $109.79 / $138.97 / $315.07	Professional		$109.79	$138.97	$315.07