Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.13 / $239.88 / $512.86	Facility	26	$89.13	$239.88	$512.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $154.88 / $331.13	Professional	26	$89.13	$154.88	$331.13
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $134.90 / $257.04	Professional	26	$95.50	$134.90	$257.04
Blue Shield Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $141.25 / $407.38	Professional	26	$97.72	$141.25	$407.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $104.71 / $257.04	Professional	26	$47.86	$104.71	$257.04
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $100.00 / $109.65	Professional	26	$12.02	$100.00	$109.65
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $114.82 / $208.93	Professional	26	$87.10	$114.82	$208.93
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $549.54 / $549.54 / $549.54	Facility	26	$549.54	$549.54	$549.54
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $549.54 / $691.83 / $691.83	Professional	26	$549.54	$691.83	$691.83
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $102.33 / $245.47	Professional	26	$47.86	$102.33	$245.47
Sutter Health Plus Facility/Professional Professional Modifier 26 Low / Median / High Price $302.00 / $302.00 / $302.00	Professional	26	$302.00	$302.00	$302.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $97.72 / $239.88	Professional	26	$74.13	$97.72	$239.88