Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.88 / $85.20 / $517.57	Facility	26	$80.88	$85.20	$517.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.50 / $200.07 / $917.00	Professional		$133.50	$200.07	$917.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $172.27 / $172.27 / $172.27	Professional		$172.27	$172.27	$172.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.49 / $208.74 / $436.94	Professional		$102.49	$208.74	$436.94
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $111.61 / $173.39 / $433.56	Professional		$111.61	$173.39	$433.56
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.73 / $96.73 / $96.73	Facility	26	$96.73	$96.73	$96.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.93 / $252.11 / $582.54	Professional		$164.93	$252.11	$582.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $119.18 / $239.30 / $323.06	Professional		$119.18	$239.30	$323.06
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $51.25 / $94.89 / $128.10	Professional	26	$51.25	$94.89	$128.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.87 / $243.60 / $453.57	Professional		$177.87	$243.60	$453.57
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $83.50 / $117.92 / $198.40	Professional	26	$83.50	$117.92	$198.40
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $200.27 / $379.97 / $415.82	Facility	26	$200.27	$379.97	$415.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,243.70 / $1,243.70 / $1,567.43	Professional		$1,243.70	$1,243.70	$1,567.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $119.06	Professional		$32.34	$32.34	$119.06
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $96.73 / $96.73 / $96.73	Facility	26	$96.73	$96.73	$96.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $174.82 / $274.35 / $576.13	Professional		$174.82	$274.35	$576.13
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $661.03 / $661.03 / $661.03	Professional		$661.03	$661.03	$661.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $154.94 / $202.61 / $266.12	Professional		$154.94	$202.61	$266.12
United Facility/Professional Professional Modifier Low / Median / High Price $139.26 / $203.05 / $520.16	Professional		$139.26	$203.05	$520.16