Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $141.25 / $194.98 / $436.52	Facility	26	$141.25	$194.98	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $549.54 / $1,548.82	Professional		$416.87	$549.54	$1,548.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $141.25 / $295.12	Professional	26	$72.44	$141.25	$295.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $645.65 / $1,905.46	Professional		$407.38	$645.65	$1,905.46
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $109.65 / $234.42	Professional	26	$74.13	$109.65	$234.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $707.95 / $1,412.54	Professional		$478.63	$707.95	$1,412.54
Blue Shield Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $120.23 / $239.88	Professional	26	$85.11	$120.23	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $602.56 / $1,318.26	Professional		$380.19	$602.56	$1,318.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $89.13 / $204.17	Professional	26	$63.10	$89.13	$204.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $549.54 / $707.95	Professional		$363.08	$549.54	$707.95
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $81.28 / $97.72	Professional	26	$61.66	$81.28	$97.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $602.56 / $954.99	Professional		$457.09	$602.56	$954.99
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $102.33 / $169.82	Professional	26	$74.13	$102.33	$169.82
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $645.65 / $645.65 / $645.65	Facility	26	$645.65	$645.65	$645.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,467.37 / $3,467.37	Professional		$2,754.23	$3,467.37	$3,467.37
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $436.52 / $562.34 / $562.34	Professional	26	$436.52	$562.34	$562.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $331.13 / $478.63	Professional		$83.18	$331.13	$478.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $602.56 / $1,230.27	Professional		$380.19	$602.56	$1,230.27
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $89.13 / $199.53	Professional	26	$63.10	$89.13	$199.53
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Professional		$1,548.82	$1,548.82	$1,548.82
Sutter Health Plus Facility/Professional Professional Modifier 26 Low / Median / High Price $239.88 / $239.88 / $239.88	Professional	26	$239.88	$239.88	$239.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $512.86 / $660.69	Professional		$363.08	$512.86	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $398.11 / $1,318.26	Professional		$346.74	$398.11	$1,318.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $63.10 / $194.98	Professional	26	$54.95	$63.10	$194.98