Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.48 / $102.33 / $316.23	Facility	26	$52.48	$102.33	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $194.98 / $575.44	Professional		$100.00	$194.98	$575.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $309.03 / $660.69	Professional		$144.54	$309.03	$660.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $323.59 / $588.84	Professional		$229.09	$323.59	$588.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.88 / $60.26 / $87.10	Facility	26	$12.88	$60.26	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $223.87 / $630.96	Professional		$109.65	$223.87	$630.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $154.88 / $208.93	Professional		$109.65	$154.88	$208.93
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $57.54 / $77.62	Professional	26	$41.69	$57.54	$77.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $147.91 / $281.84	Professional		$114.82	$147.91	$281.84
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $67.61 / $109.65	Professional	26	$52.48	$67.61	$109.65
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $331.13 / $331.13 / $331.13	Facility	26	$331.13	$331.13	$331.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Professional		$3,162.28	$3,162.28	$3,162.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $63.10 / $125.89	Professional		$32.36	$63.10	$125.89
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $12.88 / $60.26 / $87.10	Facility	26	$12.88	$60.26	$87.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $229.09 / $616.60	Professional		$112.20	$229.09	$616.60
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $173.78 / $630.96	Professional		$125.89	$173.78	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $173.78 / $478.63	Professional		$123.03	$173.78	$478.63