Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $141.25 / $204.17 / $467.74	Facility	26	$141.25	$204.17	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $478.63 / $1,318.26	Professional		$295.12	$478.63	$1,318.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $676.08 / $1,174.90	Professional		$436.52	$676.08	$1,174.90
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $602.56 / $1,148.15	Professional		$416.87	$602.56	$1,148.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.62 / $87.10 / $123.03	Facility	26	$18.62	$87.10	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $524.81 / $1,023.29	Professional		$302.00	$524.81	$1,023.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $467.74 / $575.44	Professional		$426.58	$467.74	$575.44
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $93.33 / $114.82	Professional	26	$85.11	$93.33	$114.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $398.11 / $812.83	Professional		$309.03	$398.11	$812.83
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $97.72 / $173.78	Professional	26	$74.13	$97.72	$173.78
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $691.83 / $691.83 / $691.83	Facility	26	$691.83	$691.83	$691.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Professional		$3,090.30	$3,090.30	$3,090.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $91.20 / $309.03	Professional		$32.36	$91.20	$309.03
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $18.62 / $87.10 / $123.03	Facility	26	$18.62	$87.10	$123.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $562.34 / $954.99	Professional		$302.00	$562.34	$954.99
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Professional		$1,230.27	$1,230.27	$1,230.27
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $416.87 / $891.25	Professional		$323.59	$416.87	$891.25