Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.55 / $19.26 / $109.26	Facility	26	$17.55	$19.26	$109.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.30 / $80.15 / $146.52	Professional		$62.30	$80.15	$146.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.73 / $97.03 / $190.32	Professional		$73.73	$97.03	$190.32
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $64.50 / $91.58 / $181.30	Professional		$64.50	$91.58	$181.30
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.92 / $20.92 / $20.92	Facility	26	$20.92	$20.92	$20.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.16 / $101.10 / $209.84	Professional		$75.16	$101.10	$209.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $86.72 / $95.39 / $117.07	Professional		$86.72	$95.39	$117.07
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $19.87 / $21.86 / $26.82	Professional	26	$19.87	$21.86	$26.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.34 / $79.95 / $168.88	Professional		$63.34	$79.95	$168.88
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $16.41 / $22.85 / $35.86	Professional	26	$16.41	$22.85	$35.86
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $42.94 / $100.00 / $100.00	Facility	26	$42.94	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $714.00 / $714.00 / $714.00	Professional		$714.00	$714.00	$714.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.15 / $32.34 / $91.97	Professional		$26.15	$32.34	$91.97
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $20.92 / $20.92 / $20.92	Facility	26	$20.92	$20.92	$20.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $76.98 / $110.07 / $185.58	Professional		$76.98	$110.07	$185.58
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $240.36 / $240.36 / $240.36	Professional		$240.36	$240.36	$240.36
United Facility/Professional Professional Modifier Low / Median / High Price $56.41 / $76.89 / $173.80	Professional		$56.41	$76.89	$173.80