Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.45 / $40.47 / $222.71	Facility	26	$36.45	$40.47	$222.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.24 / $312.99 / $1,443.59	Professional		$257.24	$312.99	$1,443.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $305.52 / $388.54 / $840.43	Professional		$305.52	$388.54	$840.43
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $267.74 / $414.21 / $876.02	Professional		$267.74	$414.21	$876.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.35 / $392.19 / $941.11	Professional		$269.35	$392.19	$941.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $154.90 / $367.59 / $496.25	Professional		$154.90	$367.59	$496.25
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $18.59 / $40.65 / $54.89	Professional	26	$18.59	$40.65	$54.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $273.41 / $360.40 / $643.46	Professional		$273.41	$360.40	$643.46
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $33.49 / $48.79 / $85.56	Professional	26	$33.49	$48.79	$85.56
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $180.12 / $180.12	Facility	26	$100.00	$180.12	$180.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,900.36 / $1,900.36 / $2,323.58	Professional		$1,900.36	$1,900.36	$2,323.58
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 $264.05 / $382.22 / $939.53	Professional		$264.05	$382.22	$939.53
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,065.06 / $1,065.06 / $1,065.06	Professional		$1,065.06	$1,065.06	$1,065.06
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $232.35 / $311.07 / $408.82	Professional		$232.35	$311.07	$408.82
United Facility/Professional Professional Modifier Low / Median / High Price $232.02 / $332.74 / $966.42	Professional		$232.02	$332.74	$966.42