Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.98 / $20.89 / $112.20	Facility	26	$16.98	$20.89	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $112.20 / $398.11	Professional		$72.44	$112.20	$398.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $128.82 / $169.82	Professional		$74.13	$128.82	$169.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $107.15 / $269.15	Professional		$79.43	$107.15	$269.15
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $112.20 / $229.09	Professional		$85.11	$112.20	$229.09
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $4.47 / $20.42 / $29.51	Facility	26	$4.47	$20.42	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $102.33 / $208.93	Professional		$70.79	$102.33	$208.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $123.03 / $165.96	Professional		$46.77	$123.03	$165.96
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $20.42 / $27.54	Professional	26	$11.22	$20.42	$27.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $112.20 / $194.98	Professional		$89.13	$112.20	$194.98
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $23.44 / $38.02	Professional	26	$18.20	$23.44	$38.02
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $114.82 / $114.82 / $114.82	Facility	26	$114.82	$114.82	$114.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $758.58 / $758.58	Professional		$630.96	$758.58	$758.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $33.11 / $107.15	Professional		$21.38	$33.11	$107.15
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $4.47 / $20.42 / $29.51	Facility	26	$4.47	$20.42	$29.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $109.65 / $229.09	Professional		$70.79	$109.65	$229.09
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $100.00 / $120.23	Professional		$70.79	$100.00	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $91.20 / $194.98	Professional		$57.54	$91.20	$194.98