Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.04 / $36.99 / $237.40	Facility	26	$35.04	$36.99	$237.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $235.30 / $277.52 / $1,802.44	Professional		$235.30	$277.52	$1,802.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $306.55 / $434.17 / $901.55	Professional		$306.55	$434.17	$901.55
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $227.15 / $356.95 / $864.08	Professional		$227.15	$356.95	$864.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.83 / $403.42 / $922.30	Professional		$275.83	$403.42	$922.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $271.30 / $358.65 / $484.18	Professional		$271.30	$358.65	$484.18
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $32.56 / $42.28 / $57.08	Professional	26	$32.56	$42.28	$57.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $267.01 / $351.98 / $628.08	Professional		$267.01	$351.98	$628.08
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $34.82 / $50.74 / $88.99	Professional	26	$34.82	$50.74	$88.99
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $91.64 / $172.60 / $186.96	Facility	26	$91.64	$172.60	$186.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,858.99 / $1,858.99 / $2,267.40	Professional		$1,858.99	$1,858.99	$2,267.40
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 $282.33 / $402.46 / $914.53	Professional		$282.33	$402.46	$914.53
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,037.16 / $1,037.16 / $1,037.16	Professional		$1,037.16	$1,037.16	$1,037.16
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $290.08 / $379.81 / $461.20	Professional		$290.08	$379.81	$461.20
United Facility/Professional Professional Modifier Low / Median / High Price $252.37 / $327.64 / $942.16	Professional		$252.37	$327.64	$942.16