Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.36 / $38.31 / $218.82	Facility	26	$36.36	$38.31	$218.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.63 / $196.24 / $1,094.67	Professional		$147.63	$196.24	$1,094.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.47 / $226.48 / $508.80	Professional		$163.47	$226.48	$508.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $147.81 / $227.72 / $514.39	Professional		$147.81	$227.72	$514.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.71 / $240.45 / $557.29	Professional		$159.71	$240.45	$557.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $224.45 / $224.45 / $303.01	Professional		$224.45	$224.45	$303.01
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $39.82 / $39.82 / $53.76	Professional	26	$39.82	$39.82	$53.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $168.32 / $221.69 / $394.68	Professional		$168.32	$221.69	$394.68
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $32.72 / $47.68 / $83.61	Professional	26	$32.72	$47.68	$83.61
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $168.78 / $175.75	Facility	26	$100.00	$168.78	$175.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,153.97 / $1,153.97 / $1,437.53	Professional		$1,153.97	$1,153.97	$1,437.53
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 $157.16 / $239.27 / $547.21	Professional		$157.16	$239.27	$547.21
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $629.89 / $629.89 / $629.89	Professional		$629.89	$629.89	$629.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $181.53 / $204.22 / $249.60	Professional		$181.53	$204.22	$249.60
United Facility/Professional Professional Modifier Low / Median / High Price $142.43 / $206.62 / $529.33	Professional		$142.43	$206.62	$529.33