Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $79.43 / $524.81	Professional		$46.77	$79.43	$524.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $83.18 / $208.93	Professional		$36.31	$83.18	$208.93
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $95.50 / $213.80	Professional		$72.44	$95.50	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $46.77 / $138.04	Professional		$34.67	$46.77	$138.04
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $91.20 / $123.03	Professional		$25.70	$91.20	$123.03
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $20.89 / $28.18	Professional	26	$20.89	$20.89	$28.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $83.18 / $134.90	Professional		$69.18	$83.18	$134.90
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $23.99 / $31.62	Professional	26	$16.60	$23.99	$31.62
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $117.49 / $117.49 / $117.49	Facility	26	$117.49	$117.49	$117.49
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $602.56 / $602.56	Professional		$426.58	$602.56	$602.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $52.48 / $199.53	Professional		$34.67	$52.48	$199.53
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $102.33	Professional		$74.13	$74.13	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $46.77 / $173.78	Professional		$39.81	$46.77	$173.78