Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.48 / $100.00 / $309.03	Facility	26	$52.48	$100.00	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $234.42 / $575.44	Professional		$123.03	$234.42	$575.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $331.13 / $707.95	Professional		$173.78	$331.13	$707.95
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $346.74 / $616.60	Professional		$239.88	$346.74	$616.60
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.59 / $58.88 / $83.18	Facility	26	$12.59	$58.88	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $257.04 / $645.65	Professional		$128.82	$257.04	$645.65
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $186.21 / $251.19	Professional		$128.82	$186.21	$251.19
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $56.23 / $75.86	Professional	26	$42.66	$56.23	$75.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $177.83 / $363.08	Professional		$138.04	$177.83	$363.08
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $64.57 / $104.71	Professional	26	$50.12	$64.57	$104.71
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $323.59 / $323.59 / $323.59	Facility	26	$323.59	$323.59	$323.59
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 / $162.18	Professional		$32.36	$63.10	$162.18
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $12.59 / $58.88 / $83.18	Facility	26	$12.59	$58.88	$83.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $269.15 / $645.65	Professional		$131.83	$269.15	$645.65
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $208.93 / $630.96	Professional		$151.36	$208.93	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $190.55 / $512.86	Professional		$141.25	$190.55	$512.86