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 / $168.32	Facility	26	$25.85	$27.09	$168.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.72 / $118.13 / $436.41	Professional		$89.72	$118.13	$436.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.38 / $131.19 / $277.81	Professional		$94.38	$131.19	$277.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $85.68 / $110.36 / $271.85	Professional		$85.68	$110.36	$271.85
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.07 / $31.07 / $31.07	Facility	26	$31.07	$31.07	$31.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.08 / $143.88 / $332.94	Professional		$98.08	$143.88	$332.94
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $75.29 / $164.16 / $221.62	Professional		$75.29	$164.16	$221.62
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $19.57 / $30.45 / $41.11	Professional	26	$19.57	$30.45	$41.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $119.64 / $161.86 / $265.00	Professional		$119.64	$161.86	$265.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $26.74 / $36.54 / $57.83	Professional	26	$26.74	$36.54	$57.83
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $133.66 / $133.66	Facility	26	$100.00	$133.66	$133.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $867.22 / $867.22 / $1,046.63	Professional		$867.22	$867.22	$1,046.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $94.54	Professional		$32.34	$32.34	$94.54
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $31.07 / $31.07 / $31.07	Facility	26	$31.07	$31.07	$31.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $101.94 / $165.62 / $358.80	Professional		$101.94	$165.62	$358.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $427.93 / $427.93 / $427.93	Professional		$427.93	$427.93	$427.93
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $112.94 / $151.19 / $183.60	Professional		$112.94	$151.19	$183.60
United Facility/Professional Professional Modifier Low / Median / High Price $78.72 / $130.28 / $329.51	Professional		$78.72	$130.28	$329.51