Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.71 / $17.43 / $145.57	Facility	26	$16.71	$17.43	$145.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.54 / $166.25 / $343.06	Professional		$111.54	$166.25	$343.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.69 / $220.01 / $341.80	Professional		$143.69	$220.01	$341.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $65.78 / $84.73 / $209.34	Professional		$65.78	$84.73	$209.34
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.06 / $27.06 / $27.06	Facility	26	$27.06	$27.06	$27.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.14 / $106.74 / $286.07	Professional		$66.14	$106.74	$286.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $50.19 / $176.88 / $238.79	Professional		$50.19	$176.88	$238.79
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $16.55 / $26.64 / $35.96	Professional	26	$16.55	$26.64	$35.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.63 / $174.03 / $293.58	Professional		$128.63	$174.03	$293.58
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $23.63 / $31.97 / $50.08	Professional	26	$23.63	$31.97	$50.08
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $117.85 / $117.85	Facility	26	$100.00	$117.85	$117.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $899.44 / $899.44 / $1,123.73	Professional		$899.44	$899.44	$1,123.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.29 / $32.34 / $32.34	Professional		$28.29	$32.34	$32.34
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $27.06 / $27.06 / $27.06	Facility	26	$27.06	$27.06	$27.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.54 / $133.18 / $364.22	Professional		$69.54	$133.18	$364.22
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $435.76 / $435.76 / $435.76	Professional		$435.76	$435.76	$435.76
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $75.29 / $143.06 / $196.71	Professional		$75.29	$143.06	$196.71
United Facility/Professional Professional Modifier Low / Median / High Price $57.05 / $132.09 / $454.50	Professional		$57.05	$132.09	$454.50