Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.77 / $61.66 / $2,137.96	Facility	26	$46.77	$61.66	$2,137.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $190.55 / $616.60	Professional		$107.15	$190.55	$616.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $117.49 / $223.87	Professional		$81.28	$117.49	$223.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $154.88 / $316.23	Professional		$117.49	$154.88	$316.23
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $165.96 / $323.59	Professional		$114.82	$165.96	$323.59
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $56.23 / $81.28	Facility	26	$12.02	$56.23	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $158.49 / $288.40	Professional		$104.71	$158.49	$288.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $173.78 / $213.80	Professional		$158.49	$173.78	$213.80
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $64.57 / $79.43	Professional	26	$58.88	$64.57	$79.43
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $371.54	Professional		$165.96	$165.96	$371.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $151.36 / $251.19	Professional		$117.49	$151.36	$251.19
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $69.18 / $109.65	Professional	26	$51.29	$69.18	$109.65
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $316.23 / $316.23 / $316.23	Facility	26	$316.23	$316.23	$316.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $977.24 / $977.24	Professional		$165.96	$977.24	$977.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $74.13 / $141.25	Professional		$60.26	$74.13	$141.25
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $56.23 / $81.28	Facility	26	$12.02	$56.23	$81.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $162.18 / $309.03	Professional		$107.15	$162.18	$309.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $177.83 / $257.04	Professional		$128.82	$177.83	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $120.23 / $251.19	Professional		$89.13	$120.23	$251.19