Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $90.00 / $265.00 / $415.28	Facility	26	$90.00	$265.00	$415.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.00 / $199.94 / $406.19	Professional	26	$90.00	$199.94	$406.19
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $76.01 / $111.97 / $248.75	Professional	26	$76.01	$111.97	$248.75
Blue Shield Facility/Professional Professional Modifier 26 Low / Median / High Price $70.90 / $83.30 / $192.72	Professional	26	$70.90	$83.30	$192.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.53 / $83.54 / $198.31	Professional	26	$37.53	$83.54	$198.31
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $76.00 / $76.00 / $102.60	Professional	26	$76.00	$76.00	$102.60
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $62.47 / $91.03 / $159.62	Professional	26	$62.47	$91.03	$159.62
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $497.44 / $628.16 / $642.55	Facility	26	$497.44	$628.16	$642.55
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $2,062.23 / $3,244.00 / $3,244.00	Professional	26	$2,062.23	$3,244.00	$3,244.00
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $38.52 / $82.80 / $198.10	Professional	26	$38.52	$82.80	$198.10
Sutter Health Plus Facility/Professional Professional Modifier 26 Low / Median / High Price $233.73 / $233.73 / $233.73	Professional	26	$233.73	$233.73	$233.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.09 / $87.91 / $209.76	Professional	26	$62.09	$87.91	$209.76