Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $125.89 / $467.74	Facility	26	$64.57	$125.89	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $151.36 / $851.14	Professional		$125.89	$151.36	$851.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $263.03 / $512.86	Professional		$199.53	$263.03	$512.86
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $213.80 / $478.63	Professional		$144.54	$213.80	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $190.55 / $398.11	Professional		$128.82	$190.55	$398.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $194.98 / $263.03	Professional		$128.82	$194.98	$263.03
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $87.10 / $117.49	Professional	26	$60.26	$87.10	$117.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $194.98 / $354.81	Professional		$151.36	$194.98	$354.81
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $102.33 / $177.83	Professional	26	$75.86	$102.33	$177.83
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $457.09 / $457.09 / $457.09	Facility	26	$457.09	$457.09	$457.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,258.93 / $1,258.93	Professional		$912.01	$1,258.93	$1,258.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $67.61 / $141.25	Professional		$32.36	$67.61	$141.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $190.55 / $389.05	Professional		$128.82	$190.55	$389.05
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $177.83 / $218.78	Professional		$128.82	$177.83	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $190.55 / $380.19	Professional		$114.82	$190.55	$380.19