Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.47 / $26.89 / $162.69	Facility	26	$25.47	$26.89	$162.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.52 / $56.58 / $286.91	Professional		$43.52	$56.58	$286.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.91 / $49.91 / $49.91	Professional		$49.91	$49.91	$49.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.62 / $74.30 / $151.21	Professional		$52.62	$74.30	$151.21
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $51.83 / $66.79 / $160.74	Professional		$51.83	$66.79	$160.74
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.10 / $30.10 / $30.10	Facility	26	$30.10	$30.10	$30.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.58 / $73.43 / $150.30	Professional		$45.58	$73.43	$150.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $34.00 / $59.47 / $80.28	Professional		$34.00	$59.47	$80.28
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $17.34 / $29.49 / $39.81	Professional	26	$17.34	$29.49	$39.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.18 / $61.58 / $119.07	Professional		$47.18	$61.58	$119.07
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $25.97 / $36.65 / $61.69	Professional	26	$25.97	$36.65	$61.69
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $62.48 / $118.08 / $129.25	Facility	26	$62.48	$118.08	$129.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $396.00 / $400.20 / $400.20	Professional		$396.00	$400.20	$400.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $48.54	Professional		$32.34	$32.34	$48.54
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $30.10 / $30.10 / $30.10	Facility	26	$30.10	$30.10	$30.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.43 / $78.86 / $147.22	Professional		$47.43	$78.86	$147.22
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $172.24 / $172.24 / $172.24	Professional		$172.24	$172.24	$172.24
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $48.10 / $66.13 / $82.90	Professional		$48.10	$66.13	$82.90
United Facility/Professional Professional Modifier Low / Median / High Price $38.97 / $53.38 / $153.47	Professional		$38.97	$53.38	$153.47