Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.65 / $208.93 / $660.69	Facility	26	$109.65	$208.93	$660.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $128.82 / $501.19	Professional	26	$97.72	$128.82	$501.19
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $123.03 / $123.03	Professional	26	$123.03	$123.03	$123.03
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $128.82 / $177.83 / $338.84	Professional	26	$128.82	$177.83	$338.84
Blue Shield Facility/Professional Professional Modifier 26 Low / Median / High Price $128.82 / $186.21 / $380.19	Professional	26	$128.82	$186.21	$380.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $144.54 / $281.84	Professional	26	$100.00	$144.54	$281.84
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $120.23 / $151.36 / $162.18	Professional	26	$120.23	$151.36	$162.18
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $144.54 / $245.47	Professional	26	$104.71	$144.54	$245.47
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $676.08 / $676.08 / $676.08	Facility	26	$676.08	$676.08	$676.08
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $676.08 / $891.25 / $891.25	Professional	26	$676.08	$891.25	$891.25
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $144.54 / $275.42	Professional	26	$100.00	$144.54	$275.42
Sutter Health Plus Facility/Professional Professional Modifier 26 Low / Median / High Price $371.54 / $371.54 / $371.54	Professional	26	$371.54	$371.54	$371.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $117.49 / $275.42	Professional	26	$91.20	$117.49	$275.42