Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.39 / $53.13 / $53.13	Facility	26	$50.39	$53.13	$53.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.75 / $233.23 / $906.40	Professional		$196.75	$233.23	$906.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $308.80 / $386.00 / $763.41	Professional		$308.80	$386.00	$763.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $181.10 / $268.52 / $650.37	Professional		$181.10	$268.52	$650.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.87 / $301.02 / $731.59	Professional		$206.87	$301.02	$731.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $204.94 / $331.40 / $447.39	Professional		$204.94	$331.40	$447.39
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $47.14 / $64.15 / $86.60	Professional	26	$47.14	$64.15	$86.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $252.95 / $331.40 / $624.73	Professional		$252.95	$331.40	$624.73
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $55.67 / $80.19 / $133.29	Professional	26	$55.67	$80.19	$133.29
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $129.58 / $278.73 / $278.73	Facility	26	$129.58	$278.73	$278.73
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,574.10 / $1,574.10 / $2,110.94	Professional		$1,574.10	$1,574.10	$2,110.94
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 $207.24 / $313.58 / $686.03	Professional		$207.24	$313.58	$686.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $804.23 / $804.23 / $804.23	Professional		$804.23	$804.23	$804.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $266.43 / $301.55 / $368.56	Professional		$266.43	$301.55	$368.56
United Facility/Professional Professional Modifier Low / Median / High Price $180.47 / $305.86 / $949.44	Professional		$180.47	$305.86	$949.44