Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.47 / $46.68 / $46.68	Facility	26	$43.47	$46.68	$46.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.50 / $354.91 / $553.29	Professional		$263.50	$354.91	$553.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.28 / $636.98 / $1,202.36	Professional		$380.28	$636.98	$1,202.36
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $312.63 / $491.94 / $1,182.53	Professional		$312.63	$491.94	$1,182.53
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.82 / $51.82 / $51.82	Facility	26	$51.82	$51.82	$51.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $344.34 / $519.65 / $1,139.20	Professional		$344.34	$519.65	$1,139.20
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $349.80 / $472.29 / $637.59	Professional		$349.80	$472.29	$637.59
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $38.47 / $50.21 / $67.78	Professional	26	$38.47	$50.21	$67.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $351.01 / $462.50 / $840.67	Professional		$351.01	$462.50	$840.67
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $44.53 / $60.25 / $94.39	Professional	26	$44.53	$60.25	$94.39
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $107.73 / $221.68 / $221.68	Facility	26	$107.73	$221.68	$221.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,395.01 / $2,395.01 / $2,979.45	Professional		$2,395.01	$2,395.01	$2,979.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $292.75	Professional		$32.34	$32.34	$292.75
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $51.82 / $51.82 / $51.82	Facility	26	$51.82	$51.82	$51.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $357.49 / $588.67 / $1,064.02	Professional		$357.49	$588.67	$1,064.02
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,342.59 / $1,342.59 / $1,342.59	Professional		$1,342.59	$1,342.59	$1,342.59
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $382.02 / $489.72 / $594.66	Professional		$382.02	$489.72	$594.66
United Facility/Professional Professional Modifier Low / Median / High Price $330.52 / $428.26 / $1,064.43	Professional		$330.52	$428.26	$1,064.43