Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $140.00 / $140.00 / $855.91	Facility	26	$140.00	$140.00	$855.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.08 / $494.18 / $2,886.16	Professional		$402.08	$494.18	$2,886.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $497.75 / $903.06 / $1,721.75	Professional		$497.75	$903.06	$1,721.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $415.02 / $636.12 / $1,556.28	Professional		$415.02	$636.12	$1,556.28
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $159.58 / $159.58 / $159.58	Facility	26	$159.58	$159.58	$159.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $394.80 / $769.01 / $1,529.25	Professional		$394.80	$769.01	$1,529.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $549.29 / $604.22 / $741.54	Professional		$549.29	$604.22	$741.54
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $155.04 / $170.54 / $209.30	Professional	26	$155.04	$170.54	$209.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $404.60 / $555.32 / $1,032.67	Professional		$404.60	$555.32	$1,032.67
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $139.54 / $193.80 / $413.96	Professional	26	$139.54	$193.80	$413.96
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $1,279.35 / $1,279.35 / $1,307.92	Facility	26	$1,279.35	$1,279.35	$1,307.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,924.22 / $5,006.57 / $5,006.57	Professional		$4,924.22	$5,006.57	$5,006.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $307.19	Professional		$32.34	$32.34	$307.19
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $159.58 / $159.58 / $159.58	Facility	26	$159.58	$159.58	$159.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $422.06 / $867.30 / $1,395.35	Professional		$422.06	$867.30	$1,395.35
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,660.73 / $1,660.73 / $1,660.73	Professional		$1,660.73	$1,660.73	$1,660.73
United Facility/Professional Professional Modifier Low / Median / High Price $429.46 / $637.74 / $1,406.23	Professional		$429.46	$637.74	$1,406.23