Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.98 / $57.73 / $486.75	Facility	26	$54.98	$57.73	$486.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.03 / $157.34 / $1,933.63	Professional		$132.03	$157.34	$1,933.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.28 / $276.79 / $599.66	Professional		$107.28	$276.79	$599.66
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $117.73 / $173.39 / $472.83	Professional		$117.73	$173.39	$472.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $157.55 / $557.16	Professional		$79.43	$157.55	$557.16
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $133.38 / $354.18 / $478.14	Professional		$133.38	$354.18	$478.14
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $53.35 / $68.25 / $92.14	Professional	26	$53.35	$68.25	$92.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $273.25 / $349.15 / $602.11	Professional		$273.25	$349.15	$602.11
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $55.49 / $81.90 / $142.32	Professional	26	$55.49	$81.90	$142.32
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $142.34 / $270.97 / $297.87	Facility	26	$142.34	$270.97	$297.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,810.20 / $1,810.20 / $2,249.85	Professional		$1,810.20	$1,810.20	$2,249.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.18 / $199.16 / $258.48	Professional		$71.18	$199.16	$258.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $82.25 / $218.77 / $752.04	Professional		$82.25	$218.77	$752.04
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,055.53 / $1,055.53 / $1,055.53	Professional		$1,055.53	$1,055.53	$1,055.53
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $136.05 / $226.75 / $322.31	Professional		$136.05	$226.75	$322.31
United Facility/Professional Professional Modifier Low / Median / High Price $95.05 / $170.78 / $935.34	Professional		$95.05	$170.78	$935.34