Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.40 / $50.84 / $344.42	Facility	26	$48.40	$50.84	$344.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.74 / $388.37 / $1,323.58	Professional		$300.74	$388.37	$1,323.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.48 / $428.77 / $959.15	Professional		$323.48	$428.77	$959.15
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $226.44 / $332.83 / $821.54	Professional		$226.44	$332.83	$821.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $327.44 / $491.74 / $1,335.59	Professional		$327.44	$491.74	$1,335.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $127.02 / $599.16 / $808.88	Professional		$127.02	$599.16	$808.88
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $15.24 / $65.53 / $88.47	Professional	26	$15.24	$65.53	$88.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $453.69 / $599.16 / $1,030.83	Professional		$453.69	$599.16	$1,030.83
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $56.21 / $80.88 / $134.90	Professional	26	$56.21	$80.88	$134.90
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $131.47 / $460.70 / $460.70	Facility	26	$131.47	$460.70	$460.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,514.00 / $3,514.00 / $3,754.88	Professional		$3,514.00	$3,514.00	$3,754.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $332.60 / $508.98 / $1,224.44	Professional		$332.60	$508.98	$1,224.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,571.67 / $1,571.67 / $1,571.67	Professional		$1,571.67	$1,571.67	$1,571.67
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $190.52 / $327.94 / $666.45	Professional		$190.52	$327.94	$666.45
United Facility/Professional Professional Modifier Low / Median / High Price $238.38 / $593.23 / $1,606.07	Professional		$238.38	$593.23	$1,606.07