Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.16 / $25.47 / $153.58	Facility	26	$24.16	$25.47	$153.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.94 / $154.84 / $668.46	Professional		$89.94	$154.84	$668.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.63 / $236.84 / $563.87	Professional		$117.63	$236.84	$563.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $132.38 / $216.77 / $475.43	Professional		$132.38	$216.77	$475.43
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.00 / $29.00 / $29.00	Facility	26	$29.00	$29.00	$29.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.84 / $203.96 / $637.65	Professional		$98.84	$203.96	$637.65
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $137.37 / $151.11 / $185.45	Professional		$137.37	$151.11	$185.45
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $27.38 / $30.12 / $36.96	Professional	26	$27.38	$30.12	$36.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.65 / $135.34 / $236.82	Professional		$100.65	$135.34	$236.82
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $24.45 / $33.01 / $51.47	Professional	26	$24.45	$33.01	$51.47
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $277.13 / $277.13	Facility	26	$100.00	$277.13	$277.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,945.80 / $3,034.17 / $3,034.17	Professional		$2,945.80	$3,034.17	$3,034.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $79.31	Professional		$32.34	$32.34	$79.31
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $29.00 / $29.00 / $29.00	Facility	26	$29.00	$29.00	$29.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $105.16 / $221.38 / $567.96	Professional		$105.16	$221.38	$567.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $384.65 / $384.65 / $384.65	Professional		$384.65	$384.65	$384.65
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $111.09 / $124.97 / $152.75	Professional		$111.09	$124.97	$152.75
United Facility/Professional Professional Modifier Low / Median / High Price $117.00 / $148.05 / $425.38	Professional		$117.00	$148.05	$425.38