Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.01 / $56.72 / $334.66	Facility	26	$54.01	$56.72	$334.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.79 / $139.58 / $396.21	Professional		$121.79	$139.58	$396.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.38 / $194.77 / $399.53	Professional		$145.38	$194.77	$399.53
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $143.52 / $351.43	Professional		$100.00	$143.52	$351.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.11 / $183.34 / $487.19	Professional		$103.11	$183.34	$487.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $104.52 / $137.13 / $164.56	Professional		$104.52	$137.13	$164.56
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $48.08 / $60.33 / $72.40	Professional	26	$48.08	$60.33	$72.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $113.82 / $151.34 / $266.35	Professional		$113.82	$151.34	$266.35
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $54.30 / $75.52 / $138.76	Professional	26	$54.30	$75.52	$138.76
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $130.27 / $296.93 / $368.13	Facility	26	$130.27	$296.93	$368.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.00 / $1,548.00 / $1,548.00	Professional		$1,548.00	$1,548.00	$1,548.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $108.64 / $189.60 / $351.79	Professional		$108.64	$189.60	$351.79
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $401.36 / $401.36 / $401.36	Professional		$401.36	$401.36	$401.36
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $110.86 / $152.44 / $382.38	Professional		$110.86	$152.44	$382.38
United Facility/Professional Professional Modifier Low / Median / High Price $111.18 / $123.79 / $401.84	Professional		$111.18	$123.79	$401.84