Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.93 / $26.15 / $149.69	Facility	26	$24.93	$26.15	$149.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.27 / $61.78 / $185.59	Professional		$53.27	$61.78	$185.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.24 / $76.52 / $165.55	Professional		$61.24	$76.52	$165.55
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $52.31 / $68.65 / $160.62	Professional		$52.31	$68.65	$160.62
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.28 / $28.28 / $28.28	Facility	26	$28.28	$28.28	$28.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.42 / $77.94 / $159.62	Professional		$49.42	$77.94	$159.62
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $41.79 / $75.26 / $101.60	Professional		$41.79	$75.26	$101.60
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $19.22 / $26.92 / $36.34	Professional	26	$19.22	$26.92	$36.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.79 / $75.26 / $132.10	Professional		$57.79	$75.26	$132.10
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $24.09 / $32.52 / $50.61	Professional	26	$24.09	$32.52	$50.61
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $120.03 / $120.03	Facility	26	$100.00	$120.03	$120.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $388.28 / $388.28 / $501.90	Professional		$388.28	$388.28	$501.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.49	Professional		$32.34	$32.34	$32.49
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $28.28 / $28.28 / $28.28	Facility	26	$28.28	$28.28	$28.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.97 / $87.70 / $162.63	Professional		$51.97	$87.70	$162.63
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $195.82 / $195.82 / $195.82	Professional		$195.82	$195.82	$195.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $60.85 / $83.67 / $101.91	Professional		$60.85	$83.67	$101.91
United Facility/Professional Professional Modifier Low / Median / High Price $48.88 / $66.30 / $168.38	Professional		$48.88	$66.30	$168.38