Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $138.04 / $457.09	Facility	26	$70.79	$138.04	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $512.86 / $1,412.54	Professional		$371.54	$512.86	$1,412.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $467.74 / $1,318.26	Professional		$239.88	$467.74	$1,318.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $309.03 / $1,047.13	Professional		$213.80	$309.03	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $549.54 / $1,230.27	Professional		$288.40	$549.54	$1,230.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $758.58 / $1,023.29	Professional		$169.82	$758.58	$1,023.29
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $83.18 / $112.20	Professional	26	$26.92	$83.18	$112.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $741.31 / $1,202.26	Professional		$549.54	$741.31	$1,202.26
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $97.72 / $151.36	Professional	26	$72.44	$97.72	$151.36
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $436.52 / $436.52 / $436.52	Facility	26	$436.52	$436.52	$436.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $4,570.88 / $4,570.88	Professional		$3,235.94	$4,570.88	$4,570.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $69.18 / $489.78	Professional		$32.36	$69.18	$489.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $549.54 / $1,230.27	Professional		$288.40	$549.54	$1,230.27
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Professional		$1,584.89	$1,584.89	$1,584.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $416.87 / $691.83	Professional		$251.19	$416.87	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $575.44 / $1,230.27	Professional		$239.88	$575.44	$1,230.27