Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.79 / $34.46 / $209.51	Facility	26	$32.79	$34.46	$209.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.59 / $168.23 / $608.00	Professional		$113.59	$168.23	$608.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $108.71 / $120.00 / $609.41	Professional		$108.71	$120.00	$609.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.16 / $145.00 / $294.02	Professional		$115.16	$145.00	$294.02
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $88.31 / $113.78 / $284.51	Professional		$88.31	$113.78	$284.51
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.29 / $39.29 / $39.29	Facility	26	$39.29	$39.29	$39.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.28 / $154.06 / $348.88	Professional		$102.28	$154.06	$348.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $75.52 / $148.01 / $199.81	Professional		$75.52	$148.01	$199.81
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $21.90 / $38.47 / $51.95	Professional	26	$21.90	$38.47	$51.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $113.87 / $150.05 / $269.25	Professional		$113.87	$150.05	$269.25
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $47.84 / $80.50	Professional	26	$33.88	$47.84	$80.50
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $81.20 / $154.38 / $168.77	Facility	26	$81.20	$154.38	$168.77
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $756.60 / $756.60 / $954.53	Professional		$756.60	$756.60	$954.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $75.89	Professional		$32.34	$32.34	$75.89
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $39.29 / $39.29 / $39.29	Facility	26	$39.29	$39.29	$39.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $105.64 / $164.97 / $338.42	Professional		$105.64	$164.97	$338.42
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $398.08 / $398.08 / $398.08	Professional		$398.08	$398.08	$398.08
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $113.28 / $151.66 / $184.16	Professional		$113.28	$151.66	$184.16
United Facility/Professional Professional Modifier Low / Median / High Price $85.54 / $121.26 / $333.48	Professional		$85.54	$121.26	$333.48