Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.79 / $132.93 / $780.15	Professional		$83.79	$132.93	$780.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.87 / $24.28 / $516.03	Professional	26	$16.87	$24.28	$516.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.56 / $159.69 / $333.76	Professional		$41.56	$159.69	$333.76
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.21 / $35.29 / $70.23	Professional	26	$25.21	$35.29	$70.23
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $124.03 / $177.30 / $429.31	Professional		$124.03	$177.30	$429.31
Blue Shield Facility/Professional Professional Modifier 26 Low / Median / High Price $23.46 / $33.15 / $95.31	Professional	26	$23.46	$33.15	$95.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.91 / $83.70 / $254.61	Professional		$47.91	$83.70	$254.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.43 / $16.05 / $53.78	Professional	26	$13.43	$16.05	$53.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $68.78 / $179.73 / $242.64	Professional		$68.78	$179.73	$242.64
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $29.81 / $40.24 / $55.02	Professional	26	$29.81	$40.24	$55.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.34 / $166.90 / $269.64	Professional		$138.34	$166.90	$269.64
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $23.85 / $35.77 / $44.73	Professional	26	$23.85	$35.77	$44.73
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $61.74 / $118.08 / $129.96	Facility	26	$61.74	$118.08	$129.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $888.56 / $888.56 / $1,139.03	Professional		$888.56	$888.56	$1,139.03
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $239.41 / $239.41 / $239.41	Professional	26	$239.41	$239.41	$239.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.83 / $99.83 / $150.62	Professional		$30.83	$99.83	$150.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.45 / $156.77 / $369.28	Professional		$51.45	$156.77	$369.28
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $13.43 / $16.85 / $71.15	Professional	26	$13.43	$16.85	$71.15
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $425.86 / $425.86 / $425.86	Professional		$425.86	$425.86	$425.86
Sutter Health Plus Facility/Professional Professional Modifier 26 Low / Median / High Price $102.86 / $102.86 / $102.86	Professional	26	$102.86	$102.86	$102.86
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $145.38 / $145.38 / $199.90	Professional		$145.38	$145.38	$199.90
United Facility/Professional Professional Modifier Low / Median / High Price $58.82 / $85.37 / $316.39	Professional		$58.82	$85.37	$316.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.73 / $16.97 / $69.06	Professional	26	$15.73	$16.97	$69.06