Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.06 / $59.47 / $352.44	Facility	26	$54.06	$59.47	$352.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.84 / $172.29 / $441.24	Professional		$144.84	$172.29	$441.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.61 / $270.92 / $842.45	Professional		$160.61	$270.92	$842.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $131.50 / $203.75 / $509.48	Professional		$131.50	$203.75	$509.48
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.42 / $67.42 / $67.42	Facility	26	$67.42	$67.42	$67.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $291.39 / $465.76 / $1,104.07	Professional		$291.39	$465.76	$1,104.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $216.50 / $238.15 / $330.62	Professional		$216.50	$238.15	$330.62
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $65.81 / $88.16 / $132.24	Professional	26	$65.81	$88.16	$132.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $337.93 / $443.99 / $801.00	Professional		$337.93	$443.99	$801.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $57.73 / $81.80 / $137.61	Professional	26	$57.73	$81.80	$137.61
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $135.44 / $264.93 / $288.75	Facility	26	$135.44	$264.93	$288.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,407.00 / $1,733.66 / $1,781.16	Professional		$1,407.00	$1,733.66	$1,781.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $461.21	Professional		$32.34	$32.34	$461.21
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $67.42 / $67.42 / $67.42	Facility	26	$67.42	$67.42	$67.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $292.22 / $576.29 / $1,078.21	Professional		$292.22	$576.29	$1,078.21
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,203.40 / $1,203.40 / $1,203.40	Professional		$1,203.40	$1,203.40	$1,203.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $175.08 / $240.74 / $396.73	Professional		$175.08	$240.74	$396.73
United Facility/Professional Professional Modifier Low / Median / High Price $258.44 / $364.50 / $1,035.53	Professional		$258.44	$364.50	$1,035.53