Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $257.04 / $501.19 / $794.33	Facility	26	$257.04	$501.19	$794.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,023.29 / $3,715.35	Professional		$794.33	$1,023.29	$3,715.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,698.24 / $3,311.31	Professional		$1,288.25	$1,698.24	$3,311.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,412.54 / $3,090.30	Professional		$954.99	$1,412.54	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,174.90 / $2,454.71	Professional		$812.83	$1,174.90	$2,454.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,230.27 / $1,659.59	Professional		$812.83	$1,230.27	$1,659.59
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $234.42 / $331.13 / $446.68	Professional	26	$234.42	$331.13	$446.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,202.26 / $2,290.87	Professional		$933.25	$1,202.26	$2,290.87
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $288.40 / $407.38 / $758.58	Professional	26	$288.40	$407.38	$758.58
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility	26	$1,737.80	$1,737.80	$1,737.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $7,762.47 / $7,762.47	Professional		$5,623.41	$7,762.47	$7,762.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $275.42 / $831.76	Professional		$32.36	$275.42	$831.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,174.90 / $2,454.71	Professional		$794.33	$1,174.90	$2,454.71
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Professional		$3,019.95	$3,019.95	$3,019.95
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,122.02 / $1,380.38	Professional		$812.83	$1,122.02	$1,380.38
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,148.15 / $2,344.23	Professional		$724.44	$1,148.15	$2,344.23