Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.34 / $14.59 / $83.51	Facility	26	$13.34	$14.59	$83.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.19 / $58.99 / $156.00	Professional		$46.19	$58.99	$156.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.67 / $17.67 / $17.67	Professional		$17.67	$17.67	$17.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.36 / $70.70 / $139.94	Professional		$53.36	$70.70	$139.94
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $45.16 / $64.01 / $126.88	Professional		$45.16	$64.01	$126.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.90 / $15.90 / $15.90	Facility	26	$15.90	$15.90	$15.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.63 / $73.76 / $151.27	Professional		$54.63	$73.76	$151.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $65.81 / $72.40 / $88.86	Professional		$65.81	$72.40	$88.86
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $15.64 / $17.20 / $21.11	Professional	26	$15.64	$17.20	$21.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.04 / $60.61 / $128.09	Professional		$48.04	$60.61	$128.09
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $12.86 / $17.98 / $28.23	Professional	26	$12.86	$17.98	$28.23
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $33.53 / $100.00 / $100.00	Facility	26	$33.53	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $500.00 / $500.00	Professional		$500.00	$500.00	$500.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $32.34 / $69.00	Professional		$19.82	$32.34	$69.00
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $15.90 / $15.90 / $15.90	Facility	26	$15.90	$15.90	$15.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.28 / $80.81 / $135.44	Professional		$56.28	$80.81	$135.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $175.25 / $175.25 / $175.25	Professional		$175.25	$175.25	$175.25
United Facility/Professional Professional Modifier Low / Median / High Price $41.30 / $56.08 / $121.27	Professional		$41.30	$56.08	$121.27