Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.31 / $70.79 / $223.87	Facility	26	$36.31	$70.79	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $199.53 / $1,096.48	Professional		$147.91	$199.53	$1,096.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $245.47 / $616.60	Professional		$169.82	$245.47	$616.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $275.42 / $645.65	Professional		$204.17	$275.42	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $229.09 / $537.03	Professional		$147.91	$229.09	$537.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $309.03	Professional		$229.09	$229.09	$309.03
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $40.74 / $54.95	Professional	26	$40.74	$40.74	$54.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $229.09 / $436.52	Professional		$165.96	$229.09	$436.52
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $46.77 / $85.11	Professional	26	$34.67	$46.77	$85.11
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $229.09 / $229.09 / $229.09	Facility	26	$229.09	$229.09	$229.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,445.44 / $1,445.44	Professional		$1,148.15	$1,445.44	$1,445.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $128.82 / $165.96	Professional		$35.48	$128.82	$165.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $229.09 / $512.86	Professional		$144.54	$229.09	$512.86
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Professional		$630.96	$630.96	$630.96
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $194.98 / $257.04	Professional		$190.55	$194.98	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $190.55 / $512.86	Professional		$134.90	$190.55	$512.86