Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.87 / $35.47 / $164.69	Professional		$24.87	$35.47	$164.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.40 / $49.16 / $100.01	Professional		$37.40	$49.16	$100.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $31.01 / $43.96 / $100.99	Professional		$31.01	$43.96	$100.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $23.55 / $84.72	Professional		$17.82	$23.55	$84.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $30.33 / $38.63 / $52.15	Professional		$30.33	$38.63	$52.15
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $6.07 / $28.85 / $38.95	Professional	26	$6.07	$28.85	$38.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.73 / $38.63 / $60.85	Professional		$31.73	$38.63	$60.85
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $23.08 / $34.61 / $43.29	Professional	26	$23.08	$34.61	$43.29
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $80.00 / $118.08 / $127.82	Facility	26	$80.00	$118.08	$127.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $213.96 / $213.96 / $270.08	Professional		$213.96	$213.96	$270.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.55 / $31.19 / $39.74	Professional		$8.55	$31.19	$39.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.39 / $45.49 / $95.10	Professional		$19.39	$45.49	$95.10
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $131.75 / $131.75 / $131.75	Professional		$131.75	$131.75	$131.75
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $31.23 / $31.23 / $42.94	Professional		$31.23	$31.23	$42.94
United Facility/Professional Professional Modifier Low / Median / High Price $20.83 / $24.78 / $87.29	Professional		$20.83	$24.78	$87.29