Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.18 / $54.79 / $305.87	Facility	26	$49.18	$54.79	$305.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.16 / $233.12 / $598.23	Professional		$128.16	$233.12	$598.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.74 / $299.94 / $709.56	Professional		$160.74	$299.94	$709.56
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $167.97 / $273.30 / $603.24	Professional		$167.97	$273.30	$603.24
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.33 / $59.33 / $59.33	Facility	26	$59.33	$59.33	$59.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.34 / $271.51 / $683.16	Professional		$131.34	$271.51	$683.16
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $129.35 / $183.07 / $247.14	Professional		$129.35	$183.07	$247.14
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $42.69 / $55.50 / $74.93	Professional	26	$42.69	$55.50	$74.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $135.86 / $182.39 / $344.17	Professional		$135.86	$182.39	$344.17
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $49.80 / $67.23 / $104.34	Professional	26	$49.80	$67.23	$104.34
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $122.71 / $247.86 / $247.86	Facility	26	$122.71	$247.86	$247.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,098.01 / $3,190.96 / $3,190.96	Professional		$3,098.01	$3,190.96	$3,190.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $91.16	Professional		$32.34	$32.34	$91.16
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $59.33 / $59.33 / $59.33	Facility	26	$59.33	$59.33	$59.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.62 / $291.20 / $640.46	Professional		$138.62	$291.20	$640.46
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $499.08 / $499.08 / $499.08	Professional		$499.08	$499.08	$499.08
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $148.02 / $203.52 / $629.69	Professional		$148.02	$203.52	$629.69
United Facility/Professional Professional Modifier Low / Median / High Price $153.38 / $204.91 / $615.49	Professional		$153.38	$204.91	$615.49