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 / $695.11	Facility	26	$90.00	$121.68	$695.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.63 / $265.00 / $502.85	Professional	26	$93.63	$265.00	$502.85
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $94.43 / $229.69 / $256.13	Professional	26	$94.43	$229.69	$256.13
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $112.68 / $176.64 / $662.24	Professional	26	$112.68	$176.64	$662.24
Blue Shield Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $144.41 / $377.19	Professional	26	$100.00	$144.41	$377.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.55 / $138.86 / $330.90	Professional	26	$63.55	$138.86	$330.90
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $125.68 / $169.67 / $382.86	Professional	26	$125.68	$169.67	$382.86
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $103.47 / $150.82 / $264.43	Professional	26	$103.47	$150.82	$264.43
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $827.12 / $1,042.72 / $1,063.59	Facility	26	$827.12	$1,042.72	$1,063.59
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 $64.61 / $135.56 / $330.90	Professional	26	$64.61	$135.56	$330.90
Sutter Health Plus Facility/Professional Professional Modifier 26 Low / Median / High Price $391.18 / $391.18 / $391.18	Professional	26	$391.18	$391.18	$391.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $95.56 / $128.74 / $380.87	Professional	26	$95.56	$128.74	$380.87