Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.92 / $52.48 / $177.83	Facility	26	$26.92	$52.48	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $97.72 / $524.81	Professional		$60.26	$97.72	$524.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $151.36	Professional		$109.65	$109.65	$151.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $104.71 / $288.40	Professional		$60.26	$104.71	$288.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $81.28 / $199.53	Professional		$56.23	$81.28	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $100.00 / $245.47	Professional		$70.79	$100.00	$245.47
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $138.04 / $173.78	Professional		$56.23	$138.04	$173.78
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $32.36 / $40.74	Professional	26	$16.98	$32.36	$40.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $141.25 / $245.47	Professional		$107.15	$141.25	$245.47
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $40.74 / $74.13	Professional	26	$28.84	$40.74	$74.13
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $181.97 / $181.97 / $181.97	Facility	26	$181.97	$181.97	$181.97
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $870.96 / $870.96	Professional		$676.08	$870.96	$870.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $85.11 / $120.23	Professional		$33.88	$85.11	$120.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $109.65 / $263.03	Professional		$70.79	$109.65	$263.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $97.72 / $128.82	Professional		$56.23	$97.72	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $95.50 / $218.78	Professional		$48.98	$95.50	$218.78