Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.49 / $56.00 / $318.17	Facility	26	$53.49	$56.00	$318.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.89 / $183.35 / $793.10	Professional		$110.89	$183.35	$793.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.59 / $279.93 / $659.69	Professional		$140.59	$279.93	$659.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $156.43 / $254.26 / $561.78	Professional		$156.43	$254.26	$561.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.73 / $60.73 / $60.73	Facility	26	$60.73	$60.73	$60.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.24 / $243.72 / $688.91	Professional		$117.24	$243.72	$688.91
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $157.97 / $173.77 / $213.26	Professional		$157.97	$173.77	$213.26
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $58.08 / $63.89 / $78.41	Professional	26	$58.08	$63.89	$78.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.77 / $157.97 / $259.58	Professional		$120.77	$157.97	$259.58
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $51.93 / $70.11 / $109.19	Professional	26	$51.93	$70.11	$109.19
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $125.68 / $259.16 / $259.16	Facility	26	$125.68	$259.16	$259.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,109.00 / $3,190.63 / $3,190.63	Professional		$3,109.00	$3,190.63	$3,190.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $75.91	Professional		$32.34	$32.34	$75.91
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $60.73 / $60.73 / $60.73	Facility	26	$60.73	$60.73	$60.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $126.05 / $263.20 / $609.41	Professional		$126.05	$263.20	$609.41
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $456.36 / $456.36 / $456.36	Professional		$456.36	$456.36	$456.36
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $127.70 / $143.66 / $175.59	Professional		$127.70	$143.66	$175.59
United Facility/Professional Professional Modifier Low / Median / High Price $140.38 / $186.53 / $487.28	Professional		$140.38	$186.53	$487.28