Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.99 / $54.93 / $2,119.50	Facility	26	$47.99	$54.93	$2,119.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.20 / $159.80 / $597.50	Professional		$110.20	$159.80	$597.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $111.79 / $131.52 / $237.99	Professional		$111.79	$131.52	$237.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.28 / $157.56 / $319.51	Professional		$117.28	$157.56	$319.51
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $127.42 / $309.29	Professional		$100.00	$127.42	$309.29
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.04 / $57.04 / $57.04	Facility	26	$57.04	$57.04	$57.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.87 / $157.32 / $343.47	Professional		$106.87	$157.32	$343.47
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $150.59 / $165.65 / $203.30	Professional		$150.59	$165.65	$203.30
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $56.06 / $61.67 / $75.68	Professional	26	$56.06	$61.67	$75.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $115.21 / $153.56 / $278.39	Professional		$115.21	$153.56	$278.39
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $49.30 / $69.02 / $117.16	Professional	26	$49.30	$69.02	$117.16
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $118.21 / $224.03 / $245.43	Facility	26	$118.21	$224.03	$245.43
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $735.51 / $735.51 / $987.23	Professional		$735.51	$735.51	$987.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $73.58	Professional		$32.34	$32.34	$73.58
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $57.04 / $57.04 / $57.04	Facility	26	$57.04	$57.04	$57.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $110.35 / $171.53 / $341.15	Professional		$110.35	$171.53	$341.15
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $392.27 / $392.27 / $392.27	Professional		$392.27	$392.27	$392.27
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $121.78 / $167.45 / $257.95	Professional		$121.78	$167.45	$257.95
United Facility/Professional Professional Modifier Low / Median / High Price $89.33 / $123.88 / $327.05	Professional		$89.33	$123.88	$327.05