Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $111.05 / $115.99 / $726.03	Facility	26	$111.05	$115.99	$726.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.83 / $371.76 / $1,761.20	Professional		$275.83	$371.76	$1,761.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $414.44 / $578.91 / $1,231.67	Professional		$414.44	$578.91	$1,231.67
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $297.74 / $455.37 / $1,117.42	Professional		$297.74	$455.37	$1,117.42
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $135.43 / $135.43 / $135.43	Facility	26	$135.43	$135.43	$135.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.87 / $601.72 / $1,509.85	Professional		$305.87	$601.72	$1,509.85
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $383.90 / $468.71 / $539.02	Professional		$383.90	$468.71	$539.02
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $84.37 / $131.62 / $177.69	Professional	26	$84.37	$131.62	$177.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $422.19 / $606.90 / $1,024.83	Professional		$422.19	$606.90	$1,024.83
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $116.53 / $157.94 / $247.45	Professional	26	$116.53	$157.94	$247.45
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $1,086.40 / $1,086.40 / $1,108.64	Facility	26	$1,086.40	$1,086.40	$1,108.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,146.96 / $2,232.83 / $2,516.55	Professional		$2,146.96	$2,232.83	$2,516.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $341.78	Professional		$32.34	$32.34	$341.78
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $135.43 / $135.43 / $135.43	Facility	26	$135.43	$135.43	$135.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $310.99 / $681.92 / $1,421.20	Professional		$310.99	$681.92	$1,421.20
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,796.68 / $1,796.68 / $1,796.68	Professional		$1,796.68	$1,796.68	$1,796.68
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $310.45 / $426.87 / $796.81	Professional		$310.45	$426.87	$796.81
United Facility/Professional Professional Modifier Low / Median / High Price $360.08 / $545.30 / $1,381.07	Professional		$360.08	$545.30	$1,381.07