Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $15.85 / $50.12	Facility	26	$7.94	$15.85	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $37.15 / $199.53	Professional		$25.70	$37.15	$199.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $91.20 / $138.04	Professional		$40.74	$91.20	$138.04
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $54.95 / $102.33	Professional		$38.02	$54.95	$102.33
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $1.95 / $9.12 / $13.18	Facility	26	$1.95	$9.12	$13.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $45.71 / $85.11	Professional		$29.51	$45.71	$85.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $46.77 / $63.10	Professional		$30.20	$46.77	$63.10
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $9.12 / $12.30	Professional	26	$7.24	$9.12	$12.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $43.65 / $83.18	Professional		$33.88	$43.65	$83.18
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $10.72 / $17.38	Professional	26	$8.13	$10.72	$17.38
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $70.79 / $85.11	Facility	26	$70.79	$70.79	$85.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $288.40 / $288.40	Professional		$208.93	$288.40	$288.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $32.36 / $33.11	Professional		$9.55	$32.36	$33.11
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $1.95 / $9.12 / $13.18	Facility	26	$1.95	$9.12	$13.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $46.77 / $87.10	Professional		$30.20	$46.77	$87.10
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $42.66 / $52.48	Professional		$30.20	$42.66	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $33.11 / $75.86	Professional		$25.70	$33.11	$75.86