Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $134.36 / $143.04 / $734.10	Facility	26	$134.36	$143.04	$734.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.58 / $865.31 / $2,202.94	Professional		$741.58	$865.31	$2,202.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,058.22 / $1,568.58 / $2,908.15	Professional		$1,058.22	$1,568.58	$2,908.15
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $579.33 / $876.79 / $2,069.46	Professional		$579.33	$876.79	$2,069.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $845.45 / $1,099.02 / $2,958.23	Professional		$845.45	$1,099.02	$2,958.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $698.63 / $886.07 / $1,329.11	Professional		$698.63	$886.07	$1,329.11
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $118.77 / $135.49 / $178.16	Professional	26	$118.77	$135.49	$178.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.60 / $1,087.04 / $1,941.59	Professional		$851.60	$1,087.04	$1,941.59
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $121.94 / $169.80 / $311.63	Professional	26	$121.94	$169.80	$311.63
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $944.64 / $1,152.80 / $1,180.80	Facility	26	$944.64	$1,152.80	$1,180.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,824.33 / $5,824.33 / $6,926.85	Professional		$5,824.33	$5,824.33	$6,926.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $845.45 / $1,106.08 / $2,602.42	Professional		$845.45	$1,106.08	$2,602.42
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,839.45 / $2,839.45 / $2,839.45	Professional		$2,839.45	$2,839.45	$2,839.45
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $698.63 / $985.23 / $1,329.10	Professional		$698.63	$985.23	$1,329.10
United Facility/Professional Professional Modifier Low / Median / High Price $691.19 / $969.38 / $2,470.98	Professional		$691.19	$969.38	$2,470.98