Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.51 / $56.28 / $342.82	Facility	26	$53.51	$56.28	$342.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.87 / $190.93 / $661.00	Professional		$113.87	$190.93	$661.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $103.61 / $118.62 / $594.97	Professional		$103.61	$118.62	$594.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.98 / $167.57 / $334.55	Professional		$126.98	$167.57	$334.55
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $125.58 / $305.64	Professional		$100.00	$125.58	$305.64
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.00 / $64.00 / $64.00	Facility	26	$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $159.83 / $353.29	Professional		$106.70	$159.83	$353.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $108.60 / $142.16 / $191.92	Professional		$108.60	$142.16	$191.92
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $52.13 / $62.61 / $84.52	Professional	26	$52.13	$62.61	$84.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $108.63 / $145.94 / $278.00	Professional		$108.63	$145.94	$278.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $55.16 / $77.87 / $131.01	Professional	26	$55.16	$77.87	$131.01
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $132.41 / $251.32 / $274.64	Facility	26	$132.41	$251.32	$274.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $759.56 / $759.56 / $937.58	Professional		$759.56	$759.56	$937.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $79.81	Professional		$32.34	$32.34	$79.81
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $64.00 / $64.00 / $64.00	Facility	26	$64.00	$64.00	$64.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.85 / $174.82 / $344.96	Professional		$109.85	$174.82	$344.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $401.88 / $401.88 / $401.88	Professional		$401.88	$401.88	$401.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $114.98 / $152.04 / $184.62	Professional		$114.98	$152.04	$184.62
United Facility/Professional Professional Modifier Low / Median / High Price $93.75 / $123.43 / $334.61	Professional		$93.75	$123.43	$334.61