Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.48 / $102.33 / $323.59	Facility	26	$52.48	$102.33	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $181.97 / $537.03	Professional		$104.71	$181.97	$537.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $309.03 / $660.69	Professional		$151.36	$309.03	$660.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $316.23 / $575.44	Professional		$223.87	$316.23	$575.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.18 / $61.66 / $87.10	Facility	26	$13.18	$61.66	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $234.42 / $630.96	Professional		$117.49	$234.42	$630.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $181.97 / $223.87	Professional		$165.96	$181.97	$223.87
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $66.07 / $81.28	Professional	26	$60.26	$66.07	$81.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $158.49 / $263.03	Professional		$123.03	$158.49	$263.03
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $69.18 / $112.20	Professional	26	$52.48	$69.18	$112.20
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $331.13 / $331.13 / $331.13	Facility	26	$331.13	$331.13	$331.13
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 / $64.57 / $144.54	Professional		$32.36	$64.57	$144.54
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $13.18 / $61.66 / $87.10	Facility	26	$13.18	$61.66	$87.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $239.88 / $602.56	Professional		$117.49	$239.88	$602.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $141.25 / $186.21	Professional		$134.90	$141.25	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $173.78 / $489.78	Professional		$128.82	$173.78	$489.78