Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.94 / $39.63 / $212.95	Facility	26	$35.94	$39.63	$212.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.84 / $204.62 / $643.29	Professional		$137.84	$204.62	$643.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $171.00 / $171.00	Professional		$171.00	$171.00	$171.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.30 / $230.26 / $460.09	Professional		$154.30	$230.26	$460.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $110.14 / $172.15 / $429.39	Professional		$110.14	$172.15	$429.39
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.51 / $40.51 / $40.51	Facility	26	$40.51	$40.51	$40.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.58 / $204.45 / $474.92	Professional		$138.58	$204.45	$474.92
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $83.48 / $158.81 / $268.77	Professional		$83.48	$158.81	$268.77
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $34.22 / $41.08 / $52.76	Professional	26	$34.22	$41.08	$52.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $153.13 / $199.24 / $387.52	Professional		$153.13	$199.24	$387.52
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $34.51 / $48.65 / $81.86	Professional	26	$34.51	$48.65	$81.86
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $82.72 / $159.69 / $171.71	Facility	26	$82.72	$159.69	$171.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,016.32 / $1,016.32 / $1,270.58	Professional		$1,016.32	$1,016.32	$1,270.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $161.26	Professional		$32.34	$32.34	$161.26
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $40.51 / $40.51 / $40.51	Facility	26	$40.51	$40.51	$40.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $140.72 / $221.20 / $434.93	Professional		$140.72	$221.20	$434.93
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $536.83 / $536.83 / $536.83	Professional		$536.83	$536.83	$536.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $125.21 / $181.16 / $227.79	Professional		$125.21	$181.16	$227.79
United Facility/Professional Professional Modifier Low / Median / High Price $117.52 / $167.24 / $440.42	Professional		$117.52	$167.24	$440.42