Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.13 / $239.88 / $549.54	Facility	26	$89.13	$239.88	$549.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $173.78 / $380.19	Professional	26	$91.20	$173.78	$380.19
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $173.78 / $467.74	Professional	26	$95.50	$173.78	$467.74
Blue Shield Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $151.36 / $346.74	Professional	26	$102.33	$151.36	$346.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $107.15 / $257.04	Professional	26	$50.12	$107.15	$257.04
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $109.65 / $302.00	Professional	26	$100.00	$109.65	$302.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $114.82 / $208.93	Professional	26	$85.11	$114.82	$208.93
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $954.99 / $954.99 / $954.99	Facility	26	$954.99	$954.99	$954.99
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Professional	26	$1,202.26	$1,202.26	$1,202.26
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $104.71 / $251.19	Professional	26	$48.98	$104.71	$251.19
Sutter Health Plus Facility/Professional Professional Modifier 26 Low / Median / High Price $302.00 / $302.00 / $302.00	Professional	26	$302.00	$302.00	$302.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $107.15 / $331.13	Professional	26	$81.28	$107.15	$331.13