Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $257.92 / $272.33 / $272.33	Facility	26	$257.92	$272.33	$272.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $835.31 / $1,001.35 / $2,722.13	Professional		$835.31	$1,001.35	$2,722.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,243.01 / $1,553.76 / $2,995.65	Professional		$1,243.01	$1,553.76	$2,995.65
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $731.24 / $1,081.66 / $2,599.64	Professional		$731.24	$1,081.66	$2,599.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $807.75 / $1,179.26 / $2,729.36	Professional		$807.75	$1,179.26	$2,729.36
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $810.64 / $1,189.83 / $1,606.28	Professional		$810.64	$1,189.83	$1,606.28
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $235.09 / $326.77 / $441.15	Professional	26	$235.09	$326.77	$441.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $914.63 / $1,189.83 / $2,259.96	Professional		$914.63	$1,189.83	$2,259.96
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $283.98 / $408.48 / $712.38	Professional	26	$283.98	$408.48	$712.38
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $662.35 / $1,421.72 / $1,421.72	Facility	26	$662.35	$1,421.72	$1,421.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,608.27 / $5,608.27 / $7,678.80	Professional		$5,608.27	$5,608.27	$7,678.80
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 $821.81 / $1,214.00 / $2,679.80	Professional		$821.81	$1,214.00	$2,679.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,027.83 / $3,027.83 / $3,027.83	Professional		$3,027.83	$3,027.83	$3,027.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $962.26 / $1,134.90 / $1,378.09	Professional		$962.26	$1,134.90	$1,378.09
United Facility/Professional Professional Modifier Low / Median / High Price $732.10 / $1,153.06 / $2,787.72	Professional		$732.10	$1,153.06	$2,787.72