Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.85 / $27.09 / $164.44	Facility	26	$25.85	$27.09	$164.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.17 / $124.22 / $385.61	Professional		$94.17	$124.22	$385.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.20 / $131.18 / $299.95	Professional		$93.20	$131.18	$299.95
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $88.94 / $114.56 / $282.41	Professional		$88.94	$114.56	$282.41
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.72 / $30.72 / $30.72	Facility	26	$30.72	$30.72	$30.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.34 / $140.72 / $333.39	Professional		$97.34	$140.72	$333.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $41.14 / $173.03 / $233.59	Professional		$41.14	$173.03	$233.59
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $10.29 / $30.14 / $40.69	Professional	26	$10.29	$30.14	$40.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $126.06 / $170.56 / $283.27	Professional		$126.06	$170.56	$283.27
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $26.57 / $36.17 / $57.21	Professional	26	$26.57	$36.17	$57.21
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $132.91 / $132.91	Facility	26	$100.00	$132.91	$132.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $891.71 / $891.71 / $1,104.38	Professional		$891.71	$891.71	$1,104.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $100.04	Professional		$32.34	$32.34	$100.04
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $30.72 / $30.72 / $30.72	Facility	26	$30.72	$30.72	$30.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.50 / $166.47 / $371.08	Professional		$97.50	$166.47	$371.08
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $423.03 / $423.03 / $423.03	Professional		$423.03	$423.03	$423.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $61.71 / $139.94 / $192.42	Professional		$61.71	$139.94	$192.42
United Facility/Professional Professional Modifier Low / Median / High Price $76.33 / $128.47 / $324.32	Professional		$76.33	$128.47	$324.32