Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.44 / $103.42 / $551.39	Facility	26	$93.44	$103.42	$551.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.21 / $179.41 / $453.83	Professional		$151.21	$179.41	$453.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $152.51 / $177.03 / $282.97	Professional		$152.51	$177.03	$282.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.66 / $226.53 / $524.14	Professional		$166.66	$226.53	$524.14
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $134.69 / $194.22 / $428.15	Professional		$134.69	$194.22	$428.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.91 / $102.91 / $102.91	Facility	26	$102.91	$102.91	$102.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.59 / $221.15 / $549.59	Professional		$166.59	$221.15	$549.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $203.07 / $223.38 / $274.14	Professional		$203.07	$223.38	$274.14
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $101.20 / $111.32 / $136.62	Professional	26	$101.20	$111.32	$136.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.74 / $188.65 / $442.69	Professional		$151.74	$188.65	$442.69
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $82.61 / $101.20 / $211.12	Professional	26	$82.61	$101.20	$211.12
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $212.19 / $253.72 / $443.65	Facility	26	$212.19	$253.72	$443.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,321.58 / $1,321.58 / $1,354.95	Professional		$1,321.58	$1,321.58	$1,354.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $98.06 / $226.45	Professional		$32.34	$98.06	$226.45
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $102.91 / $102.91 / $102.91	Facility	26	$102.91	$102.91	$102.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $168.24 / $229.20 / $446.29	Professional		$168.24	$229.20	$446.29
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $526.48 / $526.48 / $526.48	Professional		$526.48	$526.48	$526.48
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $12.50 / $175.89 / $225.80	Professional		$12.50	$175.89	$225.80
United Facility/Professional Professional Modifier Low / Median / High Price $126.00 / $178.28 / $436.04	Professional		$126.00	$178.28	$436.04