Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.51 / $24.28 / $146.06	Facility	26	$23.51	$24.28	$146.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.74 / $58.68 / $252.54	Professional		$47.74	$58.68	$252.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.09 / $111.12 / $214.24	Professional		$69.09	$111.12	$214.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $56.80 / $74.26 / $170.84	Professional		$56.80	$74.26	$170.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.43 / $28.43 / $28.43	Facility	26	$28.43	$28.43	$28.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.24 / $78.79 / $175.01	Professional		$53.24	$78.79	$175.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $53.29 / $75.72 / $102.22	Professional		$53.29	$75.72	$102.22
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $26.01 / $35.11 / $53.29	Professional	26	$26.01	$35.11	$53.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.95 / $76.95 / $135.38	Professional		$58.95	$76.95	$135.38
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $22.85 / $31.99 / $54.37	Professional	26	$22.85	$31.99	$54.37
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $54.32 / $104.46 / $114.05	Facility	26	$54.32	$104.46	$114.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $393.85 / $393.85 / $495.53	Professional		$393.85	$393.85	$495.53
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 $28.43 / $28.43 / $28.43	Facility	26	$28.43	$28.43	$28.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.61 / $87.12 / $167.67	Professional		$53.61	$87.12	$167.67
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $197.13 / $197.13 / $197.13	Professional		$197.13	$197.13	$197.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $61.23 / $74.59 / $90.59	Professional		$61.23	$74.59	$90.59
United Facility/Professional Professional Modifier Low / Median / High Price $46.19 / $60.27 / $177.15	Professional		$46.19	$60.27	$177.15