Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $90.00 / $96.86 / $614.23	Facility	26	$90.00	$96.86	$614.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.00 / $245.09 / $474.74	Professional	26	$90.00	$245.09	$474.74
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $98.24 / $155.80 / $420.20	Professional	26	$98.24	$155.80	$420.20
Blue Shield Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $129.87 / $342.40	Professional	26	$100.00	$129.87	$342.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.88 / $122.46 / $294.44	Professional	26	$56.88	$122.46	$294.44
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $111.45 / $150.46 / $382.86	Professional	26	$111.45	$150.46	$382.86
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $91.76 / $133.74 / $234.46	Professional	26	$91.76	$133.74	$234.46
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $734.80 / $924.96 / $945.52	Facility	26	$734.80	$924.96	$945.52
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1,192.32 / $1,192.32 / $1,192.32	Professional	26	$1,192.32	$1,192.32	$1,192.32
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $56.88 / $120.47 / $291.73	Professional	26	$56.88	$120.47	$291.73
Sutter Health Plus Facility/Professional Professional Modifier 26 Low / Median / High Price $345.80 / $345.80 / $345.80	Professional	26	$345.80	$345.80	$345.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $86.97 / $119.49 / $336.86	Professional	26	$86.97	$119.49	$336.86