Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.17 / $53.43 / $308.76	Facility	26	$51.17	$53.43	$308.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.60 / $199.21 / $281.83	Professional		$108.60	$199.21	$281.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.09 / $98.09 / $98.09	Professional		$98.09	$98.09	$98.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.22 / $271.95 / $626.20	Professional		$134.22	$271.95	$626.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $151.97 / $246.85 / $545.79	Professional		$151.97	$246.85	$545.79
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.14 / $61.14 / $61.14	Facility	26	$61.14	$61.14	$61.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.45 / $233.15 / $669.44	Professional		$111.45	$233.15	$669.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $109.25 / $144.94 / $195.68	Professional		$109.25	$144.94	$195.68
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $41.52 / $56.22 / $75.90	Professional	26	$41.52	$56.22	$75.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.41 / $144.94 / $248.84	Professional		$111.41	$144.94	$248.84
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $50.60 / $68.06 / $105.69	Professional	26	$50.60	$68.06	$105.69
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $123.55 / $253.18 / $253.18	Facility	26	$123.55	$253.18	$253.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,401.00 / $3,401.00 / $3,401.00	Professional		$3,401.00	$3,401.00	$3,401.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $71.58	Professional		$32.34	$32.34	$71.58
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $61.14 / $61.14 / $61.14	Facility	26	$61.14	$61.14	$61.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.10 / $253.69 / $601.76	Professional		$117.10	$253.69	$601.76
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $430.09 / $430.09 / $430.09	Professional		$430.09	$430.09	$430.09
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $117.15 / $161.08 / $629.23	Professional		$117.15	$161.08	$629.23
United Facility/Professional Professional Modifier Low / Median / High Price $133.16 / $168.45 / $476.52	Professional		$133.16	$168.45	$476.52