Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $90.00 / $119.88 / $536.04	Facility	26	$90.00	$119.88	$536.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.00 / $137.32 / $403.56	Professional	26	$90.00	$137.32	$403.56
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $86.18 / $136.77 / $444.23	Professional	26	$86.18	$136.77	$444.23
Blue Shield Facility/Professional Professional Modifier 26 Low / Median / High Price $97.31 / $112.53 / $294.91	Professional	26	$97.31	$112.53	$294.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.51 / $107.73 / $257.12	Professional	26	$49.51	$107.73	$257.12
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $98.45 / $132.91 / $304.05	Professional	26	$98.45	$132.91	$304.05
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $80.97 / $117.96 / $206.84	Professional	26	$80.97	$117.96	$206.84
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $690.00 / $814.88 / $960.00	Facility	26	$690.00	$814.88	$960.00
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1,192.32 / $1,192.32 / $1,201.05	Professional	26	$1,192.32	$1,192.32	$1,201.05
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $50.06 / $105.50 / $256.83	Professional	26	$50.06	$105.50	$256.83
Sutter Health Plus Facility/Professional Professional Modifier 26 Low / Median / High Price $302.02 / $302.02 / $302.02	Professional	26	$302.02	$302.02	$302.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $80.68 / $106.94 / $321.23	Professional	26	$80.68	$106.94	$321.23