Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $275.42 / $407.38 / $1,445.44	Facility	26	$275.42	$407.38	$1,445.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,202.26 / $5,495.41	Professional		$977.24	$1,202.26	$5,495.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,290.87 / $4,466.84	Professional		$1,513.56	$2,290.87	$4,466.84
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,445.44 / $3,388.44	Professional		$977.24	$1,445.44	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,412.54 / $3,311.31	Professional		$1,122.02	$1,412.54	$3,311.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,174.90 / $1,621.81	Professional		$912.01	$1,174.90	$1,621.81
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $245.47 / $295.12 / $371.54	Professional	26	$245.47	$295.12	$371.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $2,398.83	Professional		$1,000.00	$1,288.25	$2,398.83
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $263.03 / $371.54 / $676.08	Professional	26	$263.03	$371.54	$676.08
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility	26	$2,454.71	$2,454.71	$2,454.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $8,128.31 / $8,128.31	Professional		$6,606.93	$8,128.31	$8,128.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $977.24 / $1,380.38	Professional		$398.11	$977.24	$1,380.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,412.54 / $3,311.31	Professional		$1,122.02	$1,412.54	$3,311.31
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Professional		$3,467.37	$3,467.37	$3,467.37
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $1,995.26	Professional		$1,047.13	$1,380.38	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,258.93 / $2,818.38	Professional		$851.14	$1,258.93	$2,818.38