Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.76 / $70.47 / $70.47	Facility	26	$66.76	$70.47	$70.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $321.04 / $375.69 / $1,056.31	Professional		$321.04	$375.69	$1,056.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $485.27 / $607.50 / $1,186.83	Professional		$485.27	$607.50	$1,186.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $284.43 / $422.32 / $1,012.46	Professional		$284.43	$422.32	$1,012.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.07 / $468.85 / $1,088.17	Professional		$325.07	$468.85	$1,088.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $322.06 / $488.42 / $659.37	Professional		$322.06	$488.42	$659.37
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $61.19 / $85.33 / $115.20	Professional	26	$61.19	$85.33	$115.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $372.29 / $488.42 / $919.45	Professional		$372.29	$488.42	$919.45
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $74.05 / $106.66 / $177.26	Professional	26	$74.05	$106.66	$177.26
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $172.46 / $370.69 / $370.69	Facility	26	$172.46	$370.69	$370.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,295.51 / $2,295.51 / $3,105.68	Professional		$2,295.51	$2,295.51	$3,105.68
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 $325.07 / $474.50 / $1,063.13	Professional		$325.07	$474.50	$1,063.13
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,208.25 / $1,208.25 / $1,208.25	Professional		$1,208.25	$1,208.25	$1,208.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $395.04 / $450.89 / $547.51	Professional		$395.04	$450.89	$547.51
United Facility/Professional Professional Modifier Low / Median / High Price $282.77 / $458.34 / $1,093.91	Professional		$282.77	$458.34	$1,093.91