Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.30 / $113.75 / $657.26	Facility	26	$109.30	$113.75	$657.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $98.00 / $113.75 / $551.00	Professional	26	$98.00	$113.75	$551.00
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $128.69 / $165.65 / $317.55	Professional	26	$128.69	$165.65	$317.55
Blue Shield Facility/Professional Professional Modifier 26 Low / Median / High Price $100.46 / $144.34 / $349.86	Professional	26	$100.46	$144.34	$349.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $98.00 / $145.18 / $318.88	Professional	26	$98.00	$145.18	$318.88
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $118.90 / $160.41 / $166.46	Professional	26	$118.90	$160.41	$166.46
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $103.04 / $148.63 / $251.21	Professional	26	$103.04	$148.63	$251.21
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $259.18 / $529.63 / $529.63	Facility	26	$259.18	$529.63	$529.63
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $680.84 / $680.84 / $882.38	Professional	26	$680.84	$680.84	$882.38
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $102.57 / $145.18 / $315.94	Professional	26	$102.57	$145.18	$315.94
Sutter Health Plus Facility/Professional Professional Modifier 26 Low / Median / High Price $371.34 / $371.34 / $371.34	Professional	26	$371.34	$371.34	$371.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $94.03 / $130.38 / $361.46	Professional	26	$94.03	$130.38	$361.46