Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.63 / $144.32 / $939.10	Professional		$99.63	$144.32	$939.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.72 / $56.09 / $386.06	Professional	26	$42.72	$56.09	$386.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.67 / $207.35 / $431.94	Professional		$53.67	$207.35	$431.94
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.58 / $82.51 / $181.42	Professional	26	$35.58	$82.51	$181.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $109.43 / $156.33 / $368.48	Professional		$109.43	$156.33	$368.48
Blue Shield Facility/Professional Professional Modifier 26 Low / Median / High Price $42.57 / $60.08 / $140.88	Professional	26	$42.57	$60.08	$140.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.18 / $96.90 / $379.08	Professional		$66.18	$96.90	$379.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.21 / $38.45 / $153.31	Professional	26	$28.21	$38.45	$153.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $118.82 / $159.72 / $215.62	Professional		$118.82	$159.72	$215.62
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $57.85 / $78.09 / $95.06	Professional	26	$57.85	$78.09	$95.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.61 / $149.96 / $244.25	Professional		$125.61	$149.96	$244.25
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $46.28 / $69.42 / $86.81	Professional	26	$46.28	$69.42	$86.81
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $124.16 / $317.04 / $317.04	Facility	26	$124.16	$317.04	$317.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.49 / $1,000.49 / $1,047.23	Professional		$1,000.49	$1,000.49	$1,047.23
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $410.10 / $415.79 / $415.79	Professional	26	$410.10	$415.79	$415.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.95 / $65.97 / $139.12	Professional		$50.95	$65.97	$139.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.28 / $218.64 / $372.07	Professional		$73.28	$218.64	$372.07
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $28.62 / $39.53 / $155.91	Professional	26	$28.62	$39.53	$155.91
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $512.61 / $512.61 / $512.61	Professional		$512.61	$512.61	$512.61
Sutter Health Plus Facility/Professional Professional Modifier 26 Low / Median / High Price $210.72 / $210.72 / $210.72	Professional	26	$210.72	$210.72	$210.72
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $129.16 / $129.16 / $177.61	Professional		$129.16	$129.16	$177.61
United Facility/Professional Professional Modifier Low / Median / High Price $82.72 / $109.46 / $310.27	Professional		$82.72	$109.46	$310.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.65 / $44.72 / $142.38	Professional	26	$34.65	$44.72	$142.38