Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.14 / $70.16 / $451.64	Professional		$47.14	$70.16	$451.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.52 / $89.40 / $192.80	Professional		$36.52	$89.40	$192.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $62.36 / $86.03 / $209.72	Professional		$62.36	$86.03	$209.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.51 / $47.11 / $155.35	Professional		$34.51	$47.11	$155.35
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $25.82 / $92.86 / $125.36	Professional		$25.82	$92.86	$125.36
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $20.66 / $20.97 / $28.31	Professional	26	$20.66	$20.97	$28.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.84 / $85.30 / $139.93	Professional		$69.84	$85.30	$139.93
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $16.78 / $25.16 / $31.47	Professional	26	$16.78	$25.16	$31.47
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $43.36 / $113.52 / $113.52	Facility	26	$43.36	$113.52	$113.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $425.20 / $425.20 / $597.00	Professional		$425.20	$425.20	$597.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $47.45 / $65.00	Professional		$18.44	$47.45	$65.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.43 / $86.13 / $187.15	Professional		$36.43	$86.13	$187.15
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $246.52 / $246.52 / $246.52	Professional		$246.52	$246.52	$246.52
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $75.09 / $75.09 / $103.26	Professional		$75.09	$75.09	$103.26
United Facility/Professional Professional Modifier Low / Median / High Price $39.61 / $44.80 / $164.06	Professional		$39.61	$44.80	$164.06