Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.89 / $41.69 / $114.82	Facility	26	$20.89	$41.69	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $50.12 / $120.23	Professional		$33.11	$50.12	$120.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $22.91 / $64.57	Professional	26	$19.05	$22.91	$64.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $56.23 / $125.89	Professional		$38.02	$56.23	$125.89
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $35.48 / $66.07	Professional	26	$23.99	$35.48	$66.07
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $42.66 / $102.33	Professional		$31.62	$42.66	$102.33
Blue Shield Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $26.92 / $60.26	Professional	26	$19.95	$26.92	$60.26
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.01 / $23.44 / $33.11	Facility	26	$5.01	$23.44	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $56.23 / $141.25	Professional		$38.02	$56.23	$141.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $29.51 / $64.57	Professional	26	$22.39	$29.51	$64.57
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $67.61 / $91.20	Professional		$36.31	$67.61	$91.20
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $25.12 / $32.36	Professional	26	$20.89	$25.12	$32.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $102.33	Professional		$50.12	$60.26	$102.33
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $21.88 / $38.90	Professional	26	$19.50	$21.88	$38.90
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $128.82 / $128.82 / $128.82	Facility	26	$128.82	$128.82	$128.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $416.87 / $416.87	Professional		$331.13	$416.87	$416.87
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $128.82 / $165.96 / $165.96	Professional	26	$128.82	$165.96	$165.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $40.74 / $70.79	Professional		$29.51	$40.74	$70.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $58.88 / $128.82	Professional		$38.02	$58.88	$128.82
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $29.51 / $56.23	Professional	26	$22.91	$29.51	$56.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Sutter Health Plus Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $70.79 / $70.79	Professional	26	$70.79	$70.79	$70.79
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $54.95 / $66.07	Professional		$36.31	$54.95	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $44.67 / $104.71	Professional		$30.90	$44.67	$104.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $24.55 / $50.12	Professional	26	$16.98	$24.55	$50.12