Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.80 / $56.88 / $336.90	Facility	26	$52.80	$56.88	$336.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.47 / $327.55 / $1,797.00	Professional		$286.47	$327.55	$1,797.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $260.69 / $389.03 / $883.21	Professional		$260.69	$389.03	$883.21
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $292.55 / $446.43 / $860.85	Professional		$292.55	$446.43	$860.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.14 / $423.01 / $1,053.31	Professional		$265.14	$423.01	$1,053.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $189.55 / $420.51 / $567.69	Professional		$189.55	$420.51	$567.69
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $28.43 / $60.85 / $82.15	Professional	26	$28.43	$60.85	$82.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $314.05 / $413.72 / $767.00	Professional		$314.05	$413.72	$767.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $50.07 / $72.97 / $127.93	Professional	26	$50.07	$72.97	$127.93
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $131.08 / $252.03 / $268.95	Facility	26	$131.08	$252.03	$268.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,164.91 / $2,164.91 / $2,672.55	Professional		$2,164.91	$2,164.91	$2,672.55
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 $265.14 / $413.73 / $1,052.63	Professional		$265.14	$413.73	$1,052.63
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,208.59 / $1,208.59 / $1,208.59	Professional		$1,208.59	$1,208.59	$1,208.59
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $284.32 / $380.64 / $467.65	Professional		$284.32	$380.64	$467.65
United Facility/Professional Professional Modifier Low / Median / High Price $234.13 / $366.31 / $1,152.42	Professional		$234.13	$366.31	$1,152.42