Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.28 / $55.87 / $310.80	Facility	26	$53.28	$55.87	$310.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.63 / $194.41 / $405.42	Professional		$106.63	$194.41	$405.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.47 / $283.02 / $642.27	Professional		$135.47	$283.02	$642.27
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $159.22 / $258.88 / $571.80	Professional		$159.22	$258.88	$571.80
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.76 / $60.76 / $60.76	Facility	26	$60.76	$60.76	$60.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.25 / $237.12 / $681.16	Professional		$112.25	$237.12	$681.16
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $110.55 / $149.08 / $201.26	Professional		$110.55	$149.08	$201.26
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $42.01 / $56.54 / $76.33	Professional	26	$42.01	$56.54	$76.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.81 / $149.08 / $266.52	Professional		$111.81	$149.08	$266.52
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $50.88 / $68.45 / $106.30	Professional	26	$50.88	$68.45	$106.30
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $123.84 / $253.94 / $253.94	Facility	26	$123.84	$253.94	$253.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,099.85 / $3,192.85 / $3,192.85	Professional		$3,099.85	$3,192.85	$3,192.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $72.19	Professional		$32.34	$32.34	$72.19
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $60.76 / $60.76 / $60.76	Facility	26	$60.76	$60.76	$60.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $119.06 / $255.60 / $611.85	Professional		$119.06	$255.60	$611.85
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $429.91 / $429.91 / $429.91	Professional		$429.91	$429.91	$429.91
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $120.50 / $165.68 / $631.55	Professional		$120.50	$165.68	$631.55
United Facility/Professional Professional Modifier Low / Median / High Price $132.44 / $175.33 / $503.96	Professional		$132.44	$175.33	$503.96