Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.84 / $84.86 / $510.60	Facility	26	$80.84	$84.86	$510.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.07 / $137.41 / $442.27	Professional		$123.07	$137.41	$442.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.52 / $128.52 / $128.52	Professional		$128.52	$128.52	$128.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.40 / $215.87 / $437.33	Professional		$154.40	$215.87	$437.33
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $136.97 / $198.17 / $468.77	Professional		$136.97	$198.17	$468.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.29 / $193.17 / $394.81	Professional		$117.29	$193.17	$394.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $119.11 / $163.33 / $220.50	Professional		$119.11	$163.33	$220.50
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $73.84 / $92.81 / $125.29	Professional	26	$73.84	$92.81	$125.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $130.43 / $167.57 / $307.06	Professional		$130.43	$167.57	$307.06
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $80.15 / $115.79 / $194.70	Professional	26	$80.15	$115.79	$194.70
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $198.65 / $464.00 / $464.00	Facility	26	$198.65	$464.00	$464.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,114.00 / $1,114.00 / $1,114.00	Professional		$1,114.00	$1,114.00	$1,114.00
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 $119.01 / $195.56 / $382.90	Professional		$119.01	$195.56	$382.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $456.65 / $456.65 / $456.65	Professional		$456.65	$456.65	$456.65
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $132.06 / $166.75 / $202.48	Professional		$132.06	$166.75	$202.48
United Facility/Professional Professional Modifier Low / Median / High Price $118.39 / $161.19 / $415.49	Professional		$118.39	$161.19	$415.49