Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.21 / $96.15 / $606.07	Facility	26	$86.21	$96.15	$606.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.44 / $209.40 / $823.21	Professional		$165.44	$209.40	$823.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.66 / $273.12 / $597.39	Professional		$183.66	$273.12	$597.39
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $151.96 / $221.77 / $518.99	Professional		$151.96	$221.77	$518.99
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $113.41 / $113.41 / $113.41	Facility	26	$113.41	$113.41	$113.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.31 / $286.66 / $734.03	Professional		$185.31	$286.66	$734.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $332.47 / $349.09 / $448.83	Professional		$332.47	$349.09	$448.83
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $112.92 / $118.57 / $152.44	Professional	26	$112.92	$118.57	$152.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $260.23 / $344.70 / $579.00	Professional		$260.23	$344.70	$579.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $101.63 / $141.15 / $236.16	Professional	26	$101.63	$141.15	$236.16
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $235.26 / $454.15 / $495.43	Facility	26	$235.26	$454.15	$495.43
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,682.32 / $1,682.32 / $2,167.13	Professional		$1,682.32	$1,682.32	$2,167.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $144.97	Professional		$32.34	$32.34	$144.97
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $113.41 / $113.41 / $113.41	Facility	26	$113.41	$113.41	$113.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $199.76 / $322.41 / $701.73	Professional		$199.76	$322.41	$701.73
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $825.81 / $825.81 / $825.81	Professional		$825.81	$825.81	$825.81
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $268.87 / $369.70 / $369.70	Professional		$268.87	$369.70	$369.70
United Facility/Professional Professional Modifier Low / Median / High Price $152.33 / $252.63 / $603.13	Professional		$152.33	$252.63	$603.13