Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $141.25 / $181.97 / $426.58	Facility	26	$141.25	$181.97	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $389.05 / $1,380.38	Professional		$181.97	$389.05	$1,380.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $446.68 / $724.44	Professional		$302.00	$446.68	$724.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $380.19 / $707.95	Professional		$269.15	$380.19	$707.95
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.60 / $77.62 / $112.20	Facility	26	$16.60	$77.62	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $309.03 / $645.65	Professional		$169.82	$309.03	$645.65
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $281.84 / $380.19	Professional		$208.93	$281.84	$380.19
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $75.86 / $102.33	Professional	26	$58.88	$75.86	$102.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $281.84 / $537.03	Professional		$208.93	$281.84	$537.03
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $91.20 / $158.49	Professional	26	$69.18	$91.20	$158.49
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $630.96 / $630.96 / $630.96	Facility	26	$630.96	$630.96	$630.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,778.28 / $1,778.28	Professional		$1,445.44	$1,778.28	$1,778.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $74.13 / $239.88	Professional		$32.36	$74.13	$239.88
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $16.60 / $77.62 / $112.20	Facility	26	$16.60	$77.62	$112.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $346.74 / $630.96	Professional		$169.82	$346.74	$630.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Professional		$812.83	$812.83	$812.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $269.15 / $354.81	Professional		$208.93	$269.15	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $446.68 / $977.24	Professional		$213.80	$446.68	$977.24