Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $273.86 / $291.51 / $1,552.37	Facility	26	$273.86	$291.51	$1,552.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $980.03 / $1,135.40 / $3,107.48	Professional		$980.03	$1,135.40	$3,107.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,398.50 / $2,072.98 / $3,788.46	Professional		$1,398.50	$2,072.98	$3,788.46
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $755.33 / $1,140.58 / $2,590.66	Professional		$755.33	$1,140.58	$2,590.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,107.92 / $1,391.14 / $3,678.81	Professional		$1,107.92	$1,391.14	$3,678.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $919.49 / $1,166.18 / $1,605.24	Professional		$919.49	$1,166.18	$1,605.24
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $248.26 / $285.02 / $372.39	Professional	26	$248.26	$285.02	$372.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $988.54 / $1,254.01 / $2,356.79	Professional		$988.54	$1,254.01	$2,356.79
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $256.52 / $357.29 / $655.55	Professional	26	$256.52	$357.29	$655.55
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $2,007.36 / $2,442.64 / $2,506.64	Facility	26	$2,007.36	$2,442.64	$2,506.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,682.90 / $6,682.90 / $8,154.83	Professional		$6,682.90	$6,682.90	$8,154.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,107.92 / $1,396.15 / $3,247.23	Professional		$1,107.92	$1,396.15	$3,247.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,464.91 / $3,464.91 / $3,464.91	Professional		$3,464.91	$3,464.91	$3,464.91
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $919.49 / $1,287.29 / $1,749.27	Professional		$919.49	$1,287.29	$1,749.27
United Facility/Professional Professional Modifier Low / Median / High Price $855.79 / $1,219.71 / $2,973.70	Professional		$855.79	$1,219.71	$2,973.70