Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.40 / $35.07 / $210.95	Facility	26	$33.40	$35.07	$210.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.63 / $225.97 / $622.24	Professional		$192.63	$225.97	$622.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.66 / $253.33 / $546.70	Professional		$202.66	$253.33	$546.70
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $197.06 / $300.83 / $579.64	Professional		$197.06	$300.83	$579.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.32 / $272.17 / $706.63	Professional		$187.32	$272.17	$706.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $112.50 / $282.86 / $381.86	Professional		$112.50	$282.86	$381.86
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $15.75 / $38.09 / $51.42	Professional	26	$15.75	$38.09	$51.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $211.03 / $278.13 / $493.00	Professional		$211.03	$278.13	$493.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $31.36 / $45.67 / $80.09	Professional	26	$31.36	$45.67	$80.09
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $155.94 / $168.58	Facility	26	$100.00	$155.94	$168.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,447.02 / $1,447.02 / $1,798.95	Professional		$1,447.02	$1,447.02	$1,798.95
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 $187.32 / $265.83 / $704.20	Professional		$187.32	$265.83	$704.20
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $806.81 / $806.81 / $806.81	Professional		$806.81	$806.81	$806.81
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $168.75 / $236.12 / $314.56	Professional		$168.75	$236.12	$314.56
United Facility/Professional Professional Modifier Low / Median / High Price $151.27 / $244.33 / $731.42	Professional		$151.27	$244.33	$731.42