Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.88 / $75.54 / $423.10	Facility	26	$71.88	$75.54	$423.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $369.25 / $454.53 / $1,032.24	Professional		$369.25	$454.53	$1,032.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.22 / $458.98 / $1,042.03	Professional		$255.22	$458.98	$1,042.03
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $164.47 / $242.93 / $610.70	Professional		$164.47	$242.93	$610.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.63 / $549.69 / $1,444.62	Professional		$289.63	$549.69	$1,444.62
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $169.38 / $731.59 / $987.65	Professional		$169.38	$731.59	$987.65
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $27.10 / $82.62 / $111.54	Professional	26	$27.10	$82.62	$111.54
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $275.63 / $275.63 / $275.63	Professional		$275.63	$275.63	$275.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $554.36 / $731.14 / $1,188.15	Professional		$554.36	$731.14	$1,188.15
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $70.86 / $101.94 / $155.33	Professional	26	$70.86	$101.94	$155.33
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $215.97 / $358.10 / $358.10	Facility	26	$215.97	$358.10	$358.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,264.77 / $3,264.77 / $4,597.43	Professional		$3,264.77	$3,264.77	$4,597.43
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 $301.51 / $585.74 / $1,359.23	Professional		$301.51	$585.74	$1,359.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,570.55 / $1,570.55 / $1,570.55	Professional		$1,570.55	$1,570.55	$1,570.55
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $254.07 / $437.32 / $813.69	Professional		$254.07	$437.32	$813.69
United Facility/Professional Professional Modifier Low / Median / High Price $288.44 / $594.13 / $1,426.42	Professional		$288.44	$594.13	$1,426.42