Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.95 / $107.15 / $338.84	Facility	26	$54.95	$107.15	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $257.04 / $1,348.96	Professional		$181.97	$257.04	$1,348.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $426.58 / $870.96	Professional		$288.40	$426.58	$870.96
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $371.54 / $851.14	Professional		$251.19	$371.54	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $338.84 / $676.08	Professional		$208.93	$338.84	$676.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $281.84 / $309.03	Professional		$204.17	$281.84	$309.03
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $63.10 / $69.18	Professional	26	$48.98	$63.10	$69.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $281.84 / $524.81	Professional		$213.80	$281.84	$524.81
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $72.44 / $131.83	Professional	26	$54.95	$72.44	$131.83
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $354.81 / $354.81 / $354.81	Facility	26	$354.81	$354.81	$354.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Professional		$2,089.30	$2,089.30	$2,089.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $151.36 / $204.17	Professional		$66.07	$151.36	$204.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $338.84 / $676.08	Professional		$208.93	$338.84	$676.08
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $316.23 / $676.08	Professional		$229.09	$316.23	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $269.15 / $630.96	Professional		$199.53	$269.15	$630.96