Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $90.00 / $121.68 / $690.73	Facility	26	$90.00	$121.68	$690.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.63 / $265.00 / $531.92	Professional	26	$93.63	$265.00	$531.92
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $127.82 / $254.36 / $571.17	Professional	26	$127.82	$254.36	$571.17
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $110.09 / $171.99 / $482.70	Professional	26	$110.09	$171.99	$482.70
Blue Shield Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $143.32 / $375.53	Professional	26	$100.00	$143.32	$375.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.95 / $135.44 / $327.26	Professional	26	$62.95	$135.44	$327.26
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $124.78 / $168.45 / $382.86	Professional	26	$124.78	$168.45	$382.86
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $102.71 / $149.63 / $262.36	Professional	26	$102.71	$149.63	$262.36
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $822.88 / $1,034.88 / $1,053.11	Facility	26	$822.88	$1,034.88	$1,053.11
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 $62.95 / $133.25 / $323.49	Professional	26	$62.95	$133.25	$323.49
Sutter Health Plus Facility/Professional Professional Modifier 26 Low / Median / High Price $387.88 / $387.88 / $387.88	Professional	26	$387.88	$387.88	$387.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $95.96 / $133.78 / $378.22	Professional	26	$95.96	$133.78	$378.22