Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $140.00 / $140.00 / $473.65	Facility	26	$140.00	$140.00	$473.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.71 / $475.00 / $2,269.15	Professional		$340.71	$475.00	$2,269.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $402.04 / $670.08 / $1,290.31	Professional		$402.04	$670.08	$1,290.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $335.69 / $517.34 / $1,252.15	Professional		$335.69	$517.34	$1,252.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.95 / $87.95 / $87.95	Facility	26	$87.95	$87.95	$87.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.38 / $590.29 / $1,150.70	Professional		$300.38	$590.29	$1,150.70
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $329.93 / $439.88 / $593.84	Professional		$329.93	$439.88	$593.84
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $62.69 / $85.10 / $114.89	Professional	26	$62.69	$85.10	$114.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $340.00 / $439.88 / $801.00	Professional		$340.00	$439.88	$801.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $76.59 / $110.63 / $400.00	Professional	26	$76.59	$110.63	$400.00
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $700.72 / $700.72 / $720.40	Facility	26	$700.72	$700.72	$720.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,350.26 / $3,450.76 / $3,450.76	Professional		$3,350.26	$3,450.76	$3,450.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $279.64	Professional		$32.34	$32.34	$279.64
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $87.95 / $87.95 / $87.95	Facility	26	$87.95	$87.95	$87.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $320.38 / $653.76 / $1,080.95	Professional		$320.38	$653.76	$1,080.95
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,305.72 / $1,305.72 / $1,305.72	Professional		$1,305.72	$1,305.72	$1,305.72
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $355.78 / $461.91 / $560.89	Professional		$355.78	$461.91	$560.89
United Facility/Professional Professional Modifier Low / Median / High Price $336.82 / $473.76 / $1,025.30	Professional		$336.82	$473.76	$1,025.30