Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.43 / $154.88 / $512.86	Facility	26	$79.43	$154.88	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $158.49 / $660.69	Professional		$120.23	$158.49	$660.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $251.19 / $512.86	Professional		$158.49	$251.19	$512.86
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $251.19 / $524.81	Professional		$177.83	$251.19	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $190.55 / $363.08	Professional		$117.49	$190.55	$363.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $165.96 / $223.87	Professional		$120.23	$165.96	$223.87
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $93.33 / $125.89	Professional	26	$74.13	$93.33	$125.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $165.96 / $309.03	Professional		$128.82	$165.96	$309.03
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $112.20 / $190.55	Professional	26	$81.28	$112.20	$190.55
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $524.81 / $524.81 / $524.81	Facility	26	$524.81	$524.81	$524.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Professional		$1,122.02	$1,122.02	$1,122.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $46.77 / $154.88	Professional		$32.36	$46.77	$154.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $190.55 / $354.81	Professional		$117.49	$190.55	$354.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $154.88 / $204.17	Professional		$120.23	$154.88	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $154.88 / $346.74	Professional		$117.49	$154.88	$346.74