Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.07 / $27.50 / $166.63	Facility	26	$26.07	$27.50	$166.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.67 / $94.23 / $338.00	Professional		$59.67	$94.23	$338.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $76.22 / $122.63	Professional		$66.47	$76.22	$122.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.81 / $97.64 / $217.16	Professional		$71.81	$97.64	$217.16
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $91.62 / $219.94	Professional		$70.20	$91.62	$219.94
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.61 / $31.61 / $31.61	Facility	26	$31.61	$31.61	$31.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.38 / $100.47 / $216.25	Professional		$65.38	$100.47	$216.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $57.57 / $87.40 / $117.99	Professional		$57.57	$87.40	$117.99
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $20.73 / $30.80 / $41.58	Professional	26	$20.73	$30.80	$41.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.59 / $89.33 / $171.55	Professional		$68.59	$89.33	$171.55
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $27.16 / $38.34 / $64.52	Professional	26	$27.16	$38.34	$64.52
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $65.20 / $135.33 / $171.77	Facility	26	$65.20	$135.33	$171.77
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $542.40 / $542.40 / $572.10	Professional		$542.40	$542.40	$572.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $75.04	Professional		$32.34	$32.34	$75.04
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $31.61 / $31.61 / $31.61	Facility	26	$31.61	$31.61	$31.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.73 / $111.60 / $210.47	Professional		$67.73	$111.60	$210.47
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $244.26 / $244.26 / $244.26	Professional		$244.26	$244.26	$244.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $70.68 / $97.19 / $200.18	Professional		$70.68	$97.19	$200.18
United Facility/Professional Professional Modifier Low / Median / High Price $54.66 / $74.70 / $219.17	Professional		$54.66	$74.70	$219.17