Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.69 / $28.53 / $171.76	Facility	26	$27.69	$28.53	$171.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.58 / $94.96 / $415.15	Professional		$78.58	$94.96	$415.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.26 / $182.46 / $349.96	Professional		$109.26	$182.46	$349.96
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $92.89 / $116.63 / $280.85	Professional		$92.89	$116.63	$280.85
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.36 / $32.36 / $32.36	Facility	26	$32.36	$32.36	$32.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.20 / $128.36 / $283.20	Professional		$84.20	$128.36	$283.20
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $87.55 / $119.56 / $161.41	Professional		$87.55	$119.56	$161.41
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $25.39 / $31.29 / $42.24	Professional	26	$25.39	$31.29	$42.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.52 / $120.58 / $217.92	Professional		$92.52	$120.58	$217.92
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $27.67 / $39.03 / $65.69	Professional	26	$27.67	$39.03	$65.69
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $66.40 / $127.16 / $137.99	Facility	26	$66.40	$127.16	$137.99
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $607.26 / $607.26 / $773.85	Professional		$607.26	$607.26	$773.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $32.36 / $32.36 / $32.36	Facility	26	$32.36	$32.36	$32.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $88.04 / $141.24 / $274.02	Professional		$88.04	$141.24	$274.02
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $320.60 / $320.60 / $320.60	Professional		$320.60	$320.60	$320.60
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $96.70 / $122.58 / $148.84	Professional		$96.70	$122.58	$148.84
United Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $97.80 / $288.93	Professional		$75.22	$97.80	$288.93