Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.48 / $51.74 / $51.74	Facility	26	$47.48	$51.74	$51.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $321.98 / $429.69 / $562.96	Professional		$321.98	$429.69	$562.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $456.04 / $756.56 / $1,347.83	Professional		$456.04	$756.56	$1,347.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $371.05 / $583.97 / $1,382.08	Professional		$371.05	$583.97	$1,382.08
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.81 / $55.81 / $55.81	Facility	26	$55.81	$55.81	$55.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.74 / $601.41 / $1,296.42	Professional		$389.74	$601.41	$1,296.42
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $392.54 / $531.49 / $717.51	Professional		$392.54	$531.49	$717.51
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $39.25 / $53.27 / $71.91	Professional	26	$39.25	$53.27	$71.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $394.90 / $520.29 / $945.71	Professional		$394.90	$520.29	$945.71
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $47.46 / $64.06 / $100.15	Professional	26	$47.46	$64.06	$100.15
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $115.85 / $235.84 / $235.84	Facility	26	$115.85	$235.84	$235.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,687.07 / $2,687.07 / $3,351.60	Professional		$2,687.07	$2,687.07	$3,351.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $379.24	Professional		$32.34	$32.34	$379.24
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $55.81 / $55.81 / $55.81	Facility	26	$55.81	$55.81	$55.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $408.66 / $691.04 / $1,239.89	Professional		$408.66	$691.04	$1,239.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,469.43 / $1,469.43 / $1,469.43	Professional		$1,469.43	$1,469.43	$1,469.43
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $429.90 / $549.55 / $667.32	Professional		$429.90	$549.55	$667.32
United Facility/Professional Professional Modifier Low / Median / High Price $377.62 / $472.79 / $1,197.42	Professional		$377.62	$472.79	$1,197.42