Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $141.25 / $269.15 / $616.60	Facility	26	$141.25	$269.15	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $478.63 / $2,187.76	Professional		$295.12	$478.63	$2,187.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $707.95 / $1,148.15	Professional		$478.63	$707.95	$1,148.15
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $602.56 / $1,122.02	Professional		$426.58	$602.56	$1,122.02
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.55 / $114.82 / $162.18	Facility	26	$24.55	$114.82	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $478.63 / $977.24	Professional		$269.15	$478.63	$977.24
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $446.68 / $602.56	Professional		$331.13	$446.68	$602.56
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $112.20 / $151.36	Professional	26	$83.18	$112.20	$151.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $426.58 / $870.96	Professional		$323.59	$426.58	$870.96
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $131.83 / $234.42	Professional	26	$100.00	$131.83	$234.42
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $912.01 / $912.01 / $912.01	Facility	26	$912.01	$912.01	$912.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,884.03 / $2,884.03	Professional		$2,290.87	$2,884.03	$2,884.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $117.49 / $398.11	Professional		$32.36	$117.49	$398.11
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $24.55 / $114.82 / $162.18	Facility	26	$24.55	$114.82	$162.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $489.78 / $954.99	Professional		$263.03	$489.78	$954.99
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Professional		$1,288.25	$1,288.25	$1,288.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $426.58 / $562.34	Professional		$331.13	$426.58	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $549.54 / $1,148.15	Professional		$338.84	$549.54	$1,148.15