Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.80 / $31.14 / $183.02	Facility	26	$29.80	$31.14	$183.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.32 / $208.64 / $817.78	Professional		$161.32	$208.64	$817.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.09 / $235.28 / $501.26	Professional		$186.09	$235.28	$501.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $165.94 / $242.20 / $512.07	Professional		$165.94	$242.20	$512.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.09 / $248.53 / $612.90	Professional		$167.09	$248.53	$612.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $89.12 / $304.27 / $410.76	Professional		$89.12	$304.27	$410.76
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $14.26 / $33.34 / $45.01	Professional	26	$14.26	$33.34	$45.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $226.35 / $298.49 / $503.00	Professional		$226.35	$298.49	$503.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $27.50 / $40.01 / $70.23	Professional	26	$27.50	$40.01	$70.23
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $93.26 / $137.78 / $148.11	Facility	26	$93.26	$137.78	$148.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,553.08 / $1,553.08 / $1,929.83	Professional		$1,553.08	$1,553.08	$1,929.83
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 $167.09 / $247.58 / $579.76	Professional		$167.09	$247.58	$579.76
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $881.93 / $881.93 / $881.93	Professional		$881.93	$881.93	$881.93
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $133.68 / $217.32 / $338.36	Professional		$133.68	$217.32	$338.36
United Facility/Professional Professional Modifier Low / Median / High Price $136.13 / $258.70 / $816.70	Professional		$136.13	$258.70	$816.70