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 $177.83 / $263.03 / $1,548.82	Professional		$177.83	$263.03	$1,548.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $346.74 / $691.83	Professional		$257.04	$346.74	$691.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $281.84 / $676.08	Professional		$190.55	$281.84	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $257.04 / $549.54	Professional		$190.55	$257.04	$549.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $331.13 / $446.68	Professional		$165.96	$331.13	$446.68
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $87.10 / $117.49	Professional	26	$61.66	$87.10	$117.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $331.13 / $562.34	Professional		$251.19	$331.13	$562.34
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 $1,548.82 / $2,089.30 / $2,089.30	Professional		$1,548.82	$2,089.30	$2,089.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $87.10 / $229.09	Professional		$32.36	$87.10	$229.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $257.04 / $549.54	Professional		$190.55	$257.04	$549.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Professional		$724.44	$724.44	$724.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $269.15 / $309.03	Professional		$165.96	$269.15	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $275.42 / $562.34	Professional		$147.91	$275.42	$562.34