Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.03 / $45.13 / $270.22	Facility	26	$43.03	$45.13	$270.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.47 / $240.61 / $1,065.49	Professional		$195.47	$240.61	$1,065.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.12 / $296.12 / $619.85	Professional		$234.12	$296.12	$619.85
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $190.64 / $293.87 / $633.29	Professional		$190.64	$293.87	$633.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.63 / $297.64 / $686.70	Professional		$201.63	$297.64	$686.70
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $192.95 / $279.58 / $377.43	Professional		$192.95	$279.58	$377.43
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $34.72 / $48.59 / $65.59	Professional	26	$34.72	$48.59	$65.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $209.57 / $276.00 / $491.50	Professional		$209.57	$276.00	$491.50
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $39.99 / $58.28 / $102.17	Professional	26	$39.99	$58.28	$102.17
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $104.72 / $201.06 / $214.80	Facility	26	$104.72	$201.06	$214.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,573.00 / $1,573.00 / $1,787.85	Professional		$1,573.00	$1,573.00	$1,787.85
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 $200.17 / $291.39 / $684.31	Professional		$200.17	$291.39	$684.31
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $790.26 / $790.26 / $790.26	Professional		$790.26	$790.26	$790.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $226.12 / $310.92 / $470.50	Professional		$226.12	$310.92	$470.50
United Facility/Professional Professional Modifier Low / Median / High Price $177.91 / $240.36 / $911.93	Professional		$177.91	$240.36	$911.93