Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $95.50 / $263.03 / $691.83	Facility	26	$95.50	$263.03	$691.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $275.42 / $537.03	Professional	26	$112.20	$275.42	$537.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $208.93 / $281.84	Professional	26	$97.72	$208.93	$281.84
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $223.87 / $741.31	Professional	26	$123.03	$223.87	$741.31
Blue Shield Facility/Professional Professional Modifier 26 Low / Median / High Price $131.83 / $194.98 / $446.68	Professional	26	$131.83	$194.98	$446.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $138.04 / $331.13	Professional	26	$64.57	$138.04	$331.13
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $125.89 / $141.25 / $316.23	Professional	26	$125.89	$141.25	$316.23
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $147.91 / $269.15	Professional	26	$112.20	$147.91	$269.15
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility	26	$1,047.13	$1,047.13	$1,047.13
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 $63.10 / $134.90 / $323.59	Professional	26	$63.10	$134.90	$323.59
Sutter Health Plus Facility/Professional Professional Modifier 26 Low / Median / High Price $389.05 / $389.05 / $389.05	Professional	26	$389.05	$389.05	$389.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $138.04 / $416.87	Professional	26	$95.50	$138.04	$416.87