Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.25 / $18.18 / $110.26	Facility	26	$17.25	$18.18	$110.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.84 / $91.29 / $379.32	Professional		$71.84	$91.29	$379.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.52 / $86.08 / $196.90	Professional		$74.52	$86.08	$196.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.59 / $99.27 / $215.22	Professional		$68.59	$99.27	$215.22
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $72.88 / $93.07 / $211.77	Professional		$72.88	$93.07	$211.77
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.81 / $20.81 / $20.81	Facility	26	$20.81	$20.81	$20.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.78 / $103.70 / $233.65	Professional		$68.78	$103.70	$233.65
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $46.72 / $119.37 / $161.15	Professional		$46.72	$119.37	$161.15
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $11.21 / $20.09 / $27.12	Professional	26	$11.21	$20.09	$27.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $86.96 / $117.07 / $194.00	Professional		$86.96	$117.07	$194.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $24.11 / $37.77	Professional	26	$17.78	$24.11	$37.77
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $49.08 / $100.00 / $100.00	Facility	26	$49.08	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $635.08 / $635.08 / $760.80	Professional		$635.08	$635.08	$760.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $71.61	Professional		$32.34	$32.34	$71.61
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $20.81 / $20.81 / $20.81	Facility	26	$20.81	$20.81	$20.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.77 / $117.89 / $264.16	Professional		$73.77	$117.89	$264.16
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $301.77 / $301.77 / $301.77	Professional		$301.77	$301.77	$301.77
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $70.08 / $108.62 / $132.76	Professional		$70.08	$108.62	$132.76
United Facility/Professional Professional Modifier Low / Median / High Price $57.41 / $91.67 / $224.10	Professional		$57.41	$91.67	$224.10