Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.60 / $53.14 / $328.93	Facility	26	$50.60	$53.14	$328.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.87 / $173.81 / $712.00	Professional		$119.87	$173.81	$712.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.96 / $174.13 / $334.81	Professional		$118.96	$174.13	$334.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $125.72 / $309.36	Professional		$100.00	$125.72	$309.36
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.28 / $70.28 / $70.28	Facility	26	$70.28	$70.28	$70.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.09 / $177.16 / $413.87	Professional		$118.09	$177.16	$413.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $80.98 / $218.27 / $294.66	Professional		$80.98	$218.27	$294.66
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $32.39 / $67.58 / $91.23	Professional	26	$32.39	$67.58	$91.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $178.09 / $234.13 / $412.06	Professional		$178.09	$234.13	$412.06
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $59.96 / $84.48 / $142.81	Professional	26	$59.96	$84.48	$142.81
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $139.91 / $284.58 / $302.24	Facility	26	$139.91	$284.58	$302.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $936.67 / $936.67 / $1,460.93	Professional		$936.67	$936.67	$1,460.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $106.48	Professional		$32.34	$32.34	$106.48
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $70.28 / $70.28 / $70.28	Facility	26	$70.28	$70.28	$70.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $121.50 / $203.77 / $412.08	Professional		$121.50	$203.77	$412.08
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $472.22 / $472.22 / $472.22	Professional		$472.22	$472.22	$472.22
United Facility/Professional Professional Modifier Low / Median / High Price $93.75 / $145.80 / $433.33	Professional		$93.75	$145.80	$433.33