Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.70 / $33.88 / $173.78	Facility	26	$25.70	$33.88	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $134.90 / $338.84	Professional		$60.26	$134.90	$338.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $69.18 / $75.86	Professional		$46.77	$69.18	$75.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $112.20 / $208.93	Professional		$72.44	$112.20	$208.93
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $114.82 / $218.78	Professional		$77.62	$114.82	$218.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.76 / $31.62 / $44.67	Facility	26	$6.76	$31.62	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $100.00 / $181.97	Professional		$63.10	$100.00	$181.97
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $91.20 / $123.03	Professional		$57.54	$91.20	$123.03
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $31.62 / $42.66	Professional	26	$20.89	$31.62	$42.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $85.11 / $173.78	Professional		$67.61	$85.11	$173.78
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $38.02 / $66.07	Professional	26	$28.18	$38.02	$66.07
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $173.78 / $173.78 / $173.78	Facility	26	$173.78	$173.78	$173.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $575.44 / $575.44	Professional		$537.03	$575.44	$575.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $75.86 / $117.49	Professional		$38.02	$75.86	$117.49
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $6.76 / $31.62 / $44.67	Facility	26	$6.76	$31.62	$44.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $102.33 / $186.21	Professional		$63.10	$102.33	$186.21
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $102.33 / $199.53	Professional		$74.13	$102.33	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $74.13 / $165.96	Professional		$52.48	$74.13	$165.96