Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.31 / $20.93 / $52.31	Professional		$15.31	$20.93	$52.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $41.86 / $76.73	Professional		$17.30	$41.86	$76.73
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $30.60 / $43.71 / $58.85	Professional		$30.60	$43.71	$58.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.07 / $32.61 / $82.34	Professional		$15.07	$32.61	$82.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $13.37 / $17.67 / $22.11	Professional		$13.37	$17.67	$22.11
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $5.35 / $7.07 / $16.91	Professional	26	$5.35	$7.07	$16.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.35 / $18.09 / $36.00	Professional		$15.35	$18.09	$36.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $12.40 / $13.83 / $19.21	Professional	26	$12.40	$13.83	$19.21
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $30.82 / $30.82 / $100.00	Facility	26	$30.82	$30.82	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $221.52 / $261.48 / $268.64	Professional		$221.52	$261.48	$268.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.60 / $30.94 / $69.40	Professional		$15.60	$30.94	$69.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $54.13 / $54.13 / $54.13	Professional		$54.13	$54.13	$54.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $18.28 / $22.34 / $22.34	Professional		$18.28	$22.34	$22.34
United Facility/Professional Professional Modifier Low / Median / High Price $12.69 / $19.60 / $48.09	Professional		$12.69	$19.60	$48.09