Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.42 / $50.60 / $292.68	Facility	26	$48.42	$50.60	$292.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.23 / $153.62 / $301.37	Professional		$118.23	$153.62	$301.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $135.54 / $136.94 / $136.94	Professional		$135.54	$136.94	$136.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $176.42 / $368.52	Professional		$123.80	$176.42	$368.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $102.99 / $163.35 / $384.43	Professional		$102.99	$163.35	$384.43
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.58 / $78.58 / $78.58	Facility	26	$78.58	$78.58	$78.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.17 / $174.25 / $368.64	Professional		$112.17	$174.25	$368.64
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $93.82 / $162.41 / $219.27	Professional		$93.82	$162.41	$219.27
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $33.78 / $73.69 / $99.48	Professional	26	$33.78	$73.69	$99.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $122.54 / $163.22 / $269.04	Professional		$122.54	$163.22	$269.04
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $66.09 / $89.24 / $138.54	Professional	26	$66.09	$89.24	$138.54
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $160.79 / $329.60 / $329.60	Facility	26	$160.79	$329.60	$329.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,209.00 / $1,209.00 / $1,209.00	Professional		$1,209.00	$1,209.00	$1,209.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $81.29	Professional		$32.34	$32.34	$81.29
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $78.58 / $78.58 / $78.58	Facility	26	$78.58	$78.58	$78.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $116.97 / $189.51 / $368.64	Professional		$116.97	$189.51	$368.64
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $417.09 / $417.09 / $417.09	Professional		$417.09	$417.09	$417.09
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $131.29 / $180.52 / $228.78	Professional		$131.29	$180.52	$228.78
United Facility/Professional Professional Modifier Low / Median / High Price $102.78 / $149.66 / $335.33	Professional		$102.78	$149.66	$335.33