Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.07 / $128.82 / $208.93	Facility	26	$66.07	$128.82	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $380.19 / $1,122.02	Professional		$309.03	$380.19	$1,122.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $660.69 / $1,318.26	Professional		$501.19	$660.69	$1,318.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $549.54 / $1,202.26	Professional		$371.54	$549.54	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $467.74 / $1,000.00	Professional		$323.59	$467.74	$1,000.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $501.19 / $676.08	Professional		$323.59	$501.19	$676.08
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 $380.19 / $501.19 / $891.25	Professional		$380.19	$501.19	$891.25
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $104.71 / $190.55	Professional	26	$75.86	$104.71	$190.55
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 $2,290.87 / $3,090.30 / $3,090.30	Professional		$2,290.87	$3,090.30	$3,090.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $72.44 / $338.84	Professional		$32.36	$72.44	$338.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $467.74 / $977.24	Professional		$316.23	$467.74	$977.24
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Professional		$1,202.26	$1,202.26	$1,202.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $446.68 / $562.34	Professional		$323.59	$446.68	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $457.09 / $933.25	Professional		$281.84	$457.09	$933.25