Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.85 / $32.36 / $147.91	Facility	26	$15.85	$32.36	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $165.96 / $501.19	Professional		$104.71	$165.96	$501.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $223.87 / $398.11	Professional		$93.33	$223.87	$398.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $109.65 / $239.88	Professional		$72.44	$109.65	$239.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.89 / $27.54 / $39.81	Facility	26	$5.89	$27.54	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $109.65 / $263.03	Professional		$66.07	$109.65	$263.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $181.97 / $245.47	Professional		$50.12	$181.97	$245.47
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $26.92 / $36.31	Professional	26	$16.60	$26.92	$36.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $169.82 / $323.59	Professional		$131.83	$169.82	$323.59
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $31.62 / $51.29	Professional	26	$23.99	$31.62	$51.29
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $147.91 / $147.91 / $147.91	Facility	26	$147.91	$147.91	$147.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,122.02 / $1,122.02	Professional		$891.25	$1,122.02	$1,122.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $32.36 / $33.11	Professional		$28.18	$32.36	$33.11
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $5.89 / $27.54 / $39.81	Facility	26	$5.89	$27.54	$39.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $114.82 / $309.03	Professional		$67.61	$114.82	$309.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Professional		$436.52	$436.52	$436.52
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $123.03 / $165.96	Professional		$75.86	$123.03	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $131.83 / $389.05	Professional		$57.54	$131.83	$389.05