Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.95 / $69.54 / $439.98	Facility	26	$65.95	$69.54	$439.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.66 / $138.22 / $621.02	Professional		$130.66	$138.22	$621.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $292.95 / $292.95 / $292.95	Professional		$292.95	$292.95	$292.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.16 / $239.47 / $481.70	Professional		$166.16	$239.47	$481.70
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $113.13 / $166.14 / $404.89	Professional		$113.13	$166.14	$404.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.09 / $189.31 / $433.34	Professional		$130.09	$189.31	$433.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $128.69 / $189.35 / $255.62	Professional		$128.69	$189.35	$255.62
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $60.49 / $85.33 / $115.20	Professional	26	$60.49	$85.33	$115.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $149.19 / $191.41 / $351.40	Professional		$149.19	$191.41	$351.40
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $73.23 / $105.44 / $176.00	Professional	26	$73.23	$105.44	$176.00
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $172.46 / $370.69 / $370.69	Facility	26	$172.46	$370.69	$370.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $920.53 / $920.53 / $1,246.95	Professional		$920.53	$920.53	$1,246.95
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 $130.09 / $191.53 / $429.48	Professional		$130.09	$191.53	$429.48
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $497.59 / $497.59 / $497.59	Professional		$497.59	$497.59	$497.59
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $153.13 / $180.17 / $218.78	Professional		$153.13	$180.17	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $115.67 / $190.83 / $475.28	Professional		$115.67	$190.83	$475.28