Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.10 / $34.59 / $198.65	Facility	26	$31.10	$34.59	$198.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.80 / $112.11 / $339.41	Professional		$84.80	$112.11	$339.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.87 / $149.82 / $301.44	Professional		$106.87	$149.82	$301.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $131.66 / $286.76	Professional		$100.00	$131.66	$286.76
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.40 / $43.40 / $43.40	Facility	26	$43.40	$43.40	$43.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.86 / $138.91 / $308.52	Professional		$90.86	$138.91	$308.52
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $67.73 / $119.12 / $154.86	Professional		$67.73	$119.12	$154.86
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $21.00 / $40.95 / $53.24	Professional	26	$21.00	$40.95	$53.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.82 / $124.14 / $254.00	Professional		$93.82	$124.14	$254.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $36.86 / $51.24 / $89.27	Professional	26	$36.86	$51.24	$89.27
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $89.32 / $169.56 / $182.21	Facility	26	$89.32	$169.56	$182.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $767.00 / $767.00 / $787.35	Professional		$767.00	$767.00	$787.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $61.98	Professional		$32.34	$32.34	$61.98
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $43.40 / $43.40 / $43.40	Facility	26	$43.40	$43.40	$43.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.27 / $150.27 / $289.72	Professional		$91.27	$150.27	$289.72
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $328.45 / $328.45 / $328.45	Professional		$328.45	$328.45	$328.45
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $96.32 / $126.29 / $145.72	Professional		$96.32	$126.29	$145.72
United Facility/Professional Professional Modifier Low / Median / High Price $84.07 / $100.69 / $264.64	Professional		$84.07	$100.69	$264.64