Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $363.17 / $386.72 / $2,086.12	Facility	26	$363.17	$386.72	$2,086.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,195.30 / $1,338.23 / $3,421.13	Professional		$1,195.30	$1,338.23	$3,421.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $357.26 / $484.02 / $1,660.15	Professional	26	$357.26	$484.02	$1,660.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $309.92 / $309.92 / $309.92	Professional	26	$309.92	$309.92	$309.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,705.69 / $2,528.34 / $4,687.55	Professional		$1,705.69	$2,528.34	$4,687.55
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $509.81 / $728.71 / $1,300.89	Professional	26	$509.81	$728.71	$1,300.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $918.81 / $1,386.61 / $3,142.94	Professional		$918.81	$1,386.61	$3,142.94
Blue Shield Facility/Professional Professional Modifier 26 Low / Median / High Price $256.00 / $379.45 / $845.49	Professional	26	$256.00	$379.45	$845.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,349.20 / $1,701.05 / $4,236.64	Professional		$1,349.20	$1,701.05	$4,236.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $388.34 / $487.89 / $1,285.39	Professional	26	$388.34	$487.89	$1,285.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,120.29 / $1,420.86 / $1,966.09	Professional		$1,120.29	$1,420.86	$1,966.09
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $324.88 / $382.53 / $497.29	Professional	26	$324.88	$382.53	$497.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,215.10 / $1,539.51 / $2,894.80	Professional		$1,215.10	$1,539.51	$2,894.80
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $344.28 / $479.51 / $879.82	Professional	26	$344.28	$479.51	$879.82
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $2,693.76 / $3,278.00 / $3,363.92	Facility	26	$2,693.76	$3,278.00	$3,363.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,224.96 / $8,224.96 / $10,050.15	Professional		$8,224.96	$8,224.96	$10,050.15
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $2,275.66 / $2,275.66 / $3,071.40	Professional	26	$2,275.66	$2,275.66	$3,071.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,344.05 / $1,679.57 / $3,932.24	Professional		$1,344.05	$1,679.57	$3,932.24
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $399.59 / $492.79 / $1,185.47	Professional	26	$399.59	$492.79	$1,185.47
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,292.87 / $4,292.87 / $4,292.87	Professional		$4,292.87	$4,292.87	$4,292.87
Sutter Health Plus Facility/Professional Professional Modifier 26 Low / Median / High Price $1,196.50 / $1,196.50 / $1,196.50	Professional	26	$1,196.50	$1,196.50	$1,196.50
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,120.29 / $1,568.41 / $2,131.29	Professional		$1,120.29	$1,568.41	$2,131.29
United Facility/Professional Professional Modifier Low / Median / High Price $1,057.57 / $1,515.63 / $3,681.22	Professional		$1,057.57	$1,515.63	$3,681.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $314.64 / $461.60 / $997.34	Professional	26	$314.64	$461.60	$997.34