Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $140.00 / $140.00 / $466.53	Facility	26	$140.00	$140.00	$466.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.45 / $475.00 / $1,802.33	Professional		$300.45	$475.00	$1,802.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $344.52 / $598.48 / $1,124.53	Professional		$344.52	$598.48	$1,124.53
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $292.13 / $449.60 / $1,121.32	Professional		$292.13	$449.60	$1,121.32
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.80 / $86.80 / $86.80	Facility	26	$86.80	$86.80	$86.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.82 / $549.62 / $1,102.72	Professional		$282.82	$549.62	$1,102.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $420.36 / $462.40 / $567.49	Professional		$420.36	$462.40	$567.49
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $84.40 / $92.84 / $113.94	Professional	26	$84.40	$92.84	$113.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $321.76 / $415.46 / $783.05	Professional		$321.76	$415.46	$783.05
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $74.61 / $105.50 / $183.99	Professional	26	$74.61	$105.50	$183.99
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $694.56 / $694.56 / $710.88	Facility	26	$694.56	$694.56	$710.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,996.77 / $3,086.67 / $3,086.67	Professional		$2,996.77	$3,086.67	$3,086.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $236.01	Professional		$32.34	$32.34	$236.01
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $86.80 / $86.80 / $86.80	Facility	26	$86.80	$86.80	$86.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $298.69 / $617.45 / $1,018.49	Professional		$298.69	$617.45	$1,018.49
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,243.85 / $1,243.85 / $1,243.85	Professional		$1,243.85	$1,243.85	$1,243.85
United Facility/Professional Professional Modifier Low / Median / High Price $320.88 / $418.34 / $1,078.16	Professional		$320.88	$418.34	$1,078.16