Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.11 / $63.10 / $213.80	Facility	26	$33.11	$63.10	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $239.88 / $870.96	Professional		$181.97	$239.88	$870.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $275.42 / $741.31	Professional		$208.93	$275.42	$741.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $346.74 / $741.31	Professional		$263.03	$346.74	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $281.84 / $676.08	Professional		$186.21	$281.84	$676.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $281.84 / $316.23	Professional		$112.20	$281.84	$316.23
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $38.90 / $42.66	Professional	26	$15.85	$38.90	$42.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $281.84 / $501.19	Professional		$204.17	$281.84	$501.19
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $44.67 / $81.28	Professional	26	$33.11	$44.67	$81.28
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $218.78 / $218.78 / $218.78	Facility	26	$218.78	$218.78	$218.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,819.70 / $1,819.70	Professional		$1,445.44	$1,819.70	$1,819.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $169.82 / $204.17	Professional		$40.74	$169.82	$204.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $275.42 / $676.08	Professional		$186.21	$275.42	$676.08
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Professional		$812.83	$812.83	$812.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $239.88 / $288.40	Professional		$169.82	$239.88	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $245.47 / $676.08	Professional		$151.36	$245.47	$676.08