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 $168.27 / $241.78 / $1,267.16	Professional		$168.27	$241.78	$1,267.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.86 / $321.02 / $645.92	Professional		$248.86	$321.02	$645.92
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $146.26 / $215.69 / $525.25	Professional		$146.26	$215.69	$525.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.31 / $255.08 / $654.80	Professional		$182.31	$255.08	$654.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $166.28 / $323.67 / $436.95	Professional		$166.28	$323.67	$436.95
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $61.52 / $85.33 / $115.20	Professional	26	$61.52	$85.33	$115.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $248.44 / $327.22 / $570.50	Professional		$248.44	$327.22	$570.50
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 $1,533.47 / $1,533.47 / $2,080.94	Professional		$1,533.47	$1,533.47	$2,080.94
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 $186.61 / $266.55 / $626.41	Professional		$186.61	$266.55	$626.41
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $729.14 / $729.14 / $729.14	Professional		$729.14	$729.14	$729.14
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $216.17 / $272.72 / $359.94	Professional		$216.17	$272.72	$359.94
United Facility/Professional Professional Modifier Low / Median / High Price $148.37 / $278.33 / $696.56	Professional		$148.37	$278.33	$696.56