Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.12 / $97.72 / $371.54	Facility	26	$50.12	$97.72	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $186.21 / $724.44	Professional		$120.23	$186.21	$724.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $165.96 / $354.81	Professional		$125.89	$165.96	$354.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $165.96 / $338.84	Professional		$112.20	$165.96	$338.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.14 / $70.79 / $102.33	Facility	26	$15.14	$70.79	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $177.83 / $354.81	Professional		$117.49	$177.83	$354.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $223.87 / $302.00	Professional		$81.28	$223.87	$302.00
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $72.44 / $97.72	Professional	26	$32.36	$72.44	$97.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $234.42 / $407.38	Professional		$181.97	$234.42	$407.38
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $85.11 / $134.90	Professional	26	$63.10	$85.11	$134.90
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $363.08 / $363.08 / $363.08	Facility	26	$363.08	$363.08	$363.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,445.44 / $1,445.44	Professional		$933.25	$1,445.44	$1,445.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $107.15 / $177.83	Professional		$72.44	$107.15	$177.83
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $15.14 / $70.79 / $102.33	Facility	26	$15.14	$70.79	$102.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $181.97 / $389.05	Professional		$120.23	$181.97	$389.05
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Professional		$467.74	$467.74	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $144.54 / $323.59	Professional		$89.13	$144.54	$323.59