Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.50 / $83.78 / $507.16	Facility	26	$81.50	$83.78	$507.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $580.30 / $724.54 / $4,219.21	Professional		$580.30	$724.54	$4,219.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $727.54 / $1,159.39 / $2,359.36	Professional		$727.54	$1,159.39	$2,359.36
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $552.45 / $852.44 / $2,114.05	Professional		$552.45	$852.44	$2,114.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $390.79 / $807.47 / $2,133.96	Professional		$390.79	$807.47	$2,133.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $631.33 / $845.59 / $1,141.55	Professional		$631.33	$845.59	$1,141.55
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $69.45 / $92.60 / $125.01	Professional	26	$69.45	$92.60	$125.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $612.41 / $828.56 / $1,479.70	Professional		$612.41	$828.56	$1,479.70
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $76.14 / $110.94 / $194.53	Professional	26	$76.14	$110.94	$194.53
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $199.13 / $376.93 / $408.88	Facility	26	$199.13	$376.93	$408.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,322.46 / $4,322.46 / $5,333.63	Professional		$4,322.46	$4,322.46	$5,333.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $477.79 / $770.44 / $2,101.28	Professional		$477.79	$770.44	$2,101.28
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,427.80 / $2,427.80 / $2,427.80	Professional		$2,427.80	$2,427.80	$2,427.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $683.97 / $883.86 / $1,073.26	Professional		$683.97	$883.86	$1,073.26
United Facility/Professional Professional Modifier Low / Median / High Price $578.41 / $797.86 / $2,247.90	Professional		$578.41	$797.86	$2,247.90