Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.78 / $22.80 / $136.00	Facility	26	$21.78	$22.80	$136.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.98 / $96.20 / $227.73	Professional		$71.98	$96.20	$227.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.34 / $106.58 / $240.56	Professional		$73.34	$106.58	$240.56
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $96.47 / $121.04 / $248.00	Professional		$96.47	$121.04	$248.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.82 / $25.82 / $25.82	Facility	26	$25.82	$25.82	$25.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.67 / $113.35 / $253.03	Professional		$66.67	$113.35	$253.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $24.83 / $105.24 / $142.07	Professional		$24.83	$105.24	$142.07
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $5.71 / $25.23 / $34.06	Professional	26	$5.71	$25.23	$34.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.42 / $104.52 / $173.60	Professional		$79.42	$104.52	$173.60
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $22.32 / $30.28 / $47.43	Professional	26	$22.32	$30.28	$47.43
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $111.44 / $111.44	Facility	26	$100.00	$111.44	$111.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $758.00 / $758.00 / $758.00	Professional		$758.00	$758.00	$758.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $54.50	Professional		$32.34	$32.34	$54.50
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $25.82 / $25.82 / $25.82	Facility	26	$25.82	$25.82	$25.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.40 / $128.43 / $245.39	Professional		$70.40	$128.43	$245.39
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $304.37 / $304.37 / $304.37	Professional		$304.37	$304.37	$304.37
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $37.25 / $85.11 / $117.03	Professional		$37.25	$85.11	$117.03
United Facility/Professional Professional Modifier Low / Median / High Price $65.23 / $97.86 / $233.81	Professional		$65.23	$97.86	$233.81