Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.92 / $59.02 / $337.40	Facility	26	$55.92	$59.02	$337.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.35 / $271.12 / $1,331.65	Professional		$151.35	$271.12	$1,331.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $242.54 / $359.18 / $722.71	Professional		$242.54	$359.18	$722.71
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $183.74 / $282.38 / $702.74	Professional		$183.74	$282.38	$702.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.29 / $336.19 / $675.57	Professional		$198.29	$336.19	$675.57
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $203.76 / $272.52 / $367.92	Professional		$203.76	$272.52	$367.92
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $48.90 / $61.27 / $82.71	Professional	26	$48.90	$61.27	$82.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $205.39 / $271.56 / $480.48	Professional		$205.39	$271.56	$480.48
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $50.32 / $73.23 / $128.47	Professional	26	$50.32	$73.23	$128.47
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $131.11 / $256.77 / $269.99	Facility	26	$131.11	$256.77	$269.99
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,091.00 / $2,091.00 / $2,091.00	Professional		$2,091.00	$2,091.00	$2,091.00
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 $196.88 / $334.06 / $675.49	Professional		$196.88	$334.06	$675.49
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $766.26 / $766.26 / $766.26	Professional		$766.26	$766.26	$766.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $220.41 / $303.06 / $682.88	Professional		$220.41	$303.06	$682.88
United Facility/Professional Professional Modifier Low / Median / High Price $198.48 / $256.85 / $642.83	Professional		$198.48	$256.85	$642.83