Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.20 / $33.85 / $202.44	Facility	26	$32.20	$33.85	$202.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.56 / $126.39 / $523.74	Professional		$84.56	$126.39	$523.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.88 / $87.88 / $97.64	Professional		$87.88	$87.88	$97.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.02 / $137.32 / $266.39	Professional		$91.02	$137.32	$266.39
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $82.32 / $105.69 / $259.13	Professional		$82.32	$105.69	$259.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.15 / $38.15 / $38.15	Facility	26	$38.15	$38.15	$38.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.42 / $123.94 / $267.23	Professional		$82.42	$123.94	$267.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $82.17 / $112.28 / $151.58	Professional		$82.17	$112.28	$151.58
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $30.40 / $37.32 / $50.38	Professional	26	$30.40	$37.32	$50.38
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $266.68 / $266.68 / $266.68	Professional		$266.68	$266.68	$266.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.88 / $113.55 / $206.22	Professional		$87.88	$113.55	$206.22
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $32.86 / $46.41 / $78.09	Professional	26	$32.86	$46.41	$78.09
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $78.81 / $149.85 / $163.72	Facility	26	$78.81	$149.85	$163.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $579.01 / $596.38 / $730.35	Professional		$579.01	$596.38	$730.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $73.86	Professional		$32.34	$32.34	$73.86
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $38.15 / $38.15 / $38.15	Facility	26	$38.15	$38.15	$38.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $84.55 / $136.84 / $263.16	Professional		$84.55	$136.84	$263.16
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $301.36 / $301.36 / $301.36	Professional		$301.36	$301.36	$301.36
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $90.81 / $115.04 / $139.69	Professional		$90.81	$115.04	$139.69
United Facility/Professional Professional Modifier Low / Median / High Price $71.06 / $94.52 / $259.74	Professional		$71.06	$94.52	$259.74