Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.23 / $64.95 / $280.72	Facility	26	$58.23	$64.95	$280.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.30 / $240.95 / $899.27	Professional		$154.30	$240.95	$899.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.27 / $212.00 / $469.25	Professional		$156.27	$212.00	$469.25
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $183.21 / $285.05 / $676.17	Professional		$183.21	$285.05	$676.17
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.38 / $52.38 / $52.38	Facility	26	$52.38	$52.38	$52.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.33 / $311.51 / $595.50	Professional		$218.33	$311.51	$595.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $73.98 / $313.88 / $423.74	Professional		$73.98	$313.88	$423.74
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $44.39 / $53.03 / $71.59	Professional	26	$44.39	$53.03	$71.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.04 / $308.43 / $512.26	Professional		$234.04	$308.43	$512.26
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $45.89 / $63.64 / $99.70	Professional	26	$45.89	$63.64	$99.70
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $104.43 / $233.70 / $233.70	Facility	26	$104.43	$233.70	$233.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,494.48 / $1,539.32 / $1,992.60	Professional		$1,494.48	$1,539.32	$1,992.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $190.12	Professional		$32.34	$32.34	$190.12
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $52.38 / $52.38 / $52.38	Facility	26	$52.38	$52.38	$52.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $228.20 / $349.58 / $570.57	Professional		$228.20	$349.58	$570.57
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $676.67 / $676.67 / $676.67	Professional		$676.67	$676.67	$676.67
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $110.98 / $228.82 / $349.07	Professional		$110.98	$228.82	$349.07
United Facility/Professional Professional Modifier Low / Median / High Price $165.01 / $245.94 / $538.00	Professional		$165.01	$245.94	$538.00