Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.69 / $34.22 / $193.27	Facility	26	$31.69	$34.22	$193.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.99 / $95.90 / $150.08	Professional		$81.99	$95.90	$150.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.32 / $32.90 / $91.67	Professional	26	$30.32	$32.90	$91.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.13 / $139.03 / $268.06	Professional		$91.13	$139.03	$268.06
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.97 / $46.64 / $90.20	Professional	26	$32.97	$46.64	$90.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $110.23 / $222.12	Professional		$80.91	$110.23	$222.12
Blue Shield Facility/Professional Professional Modifier 26 Low / Median / High Price $26.27 / $37.78 / $88.81	Professional	26	$26.27	$37.78	$88.81
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.04 / $36.04 / $36.04	Facility	26	$36.04	$36.04	$36.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.34 / $127.99 / $264.88	Professional		$97.34	$127.99	$264.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.01 / $43.74 / $89.07	Professional	26	$34.01	$43.74	$89.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $86.44 / $114.26 / $154.25	Professional		$86.44	$114.26	$154.25
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $28.53 / $34.88 / $47.09	Professional	26	$28.53	$34.88	$47.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.94 / $104.38 / $216.28	Professional		$83.94	$104.38	$216.28
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $28.64 / $40.11 / $73.16	Professional	26	$28.64	$40.11	$73.16
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $74.91 / $140.77 / $153.47	Facility	26	$74.91	$140.77	$153.47
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $560.38 / $560.38 / $745.73	Professional		$560.38	$560.38	$745.73
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $201.28 / $201.28 / $247.13	Professional	26	$201.28	$201.28	$247.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $122.76	Professional		$32.34	$32.34	$122.76
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $36.04 / $36.04 / $36.04	Facility	26	$36.04	$36.04	$36.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $99.91 / $142.10 / $239.20	Professional		$99.91	$142.10	$239.20
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $34.01 / $43.13 / $84.81	Professional	26	$34.01	$43.13	$84.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $303.86 / $303.86 / $303.86	Professional		$303.86	$303.86	$303.86
Sutter Health Plus Facility/Professional Professional Modifier 26 Low / Median / High Price $109.02 / $109.02 / $109.02	Professional	26	$109.02	$109.02	$109.02
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $86.44 / $103.95 / $146.96	Professional		$86.44	$103.95	$146.96
United Facility/Professional Professional Modifier Low / Median / High Price $72.23 / $98.04 / $214.41	Professional		$72.23	$98.04	$214.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.65 / $35.15 / $72.66	Professional	26	$25.65	$35.15	$72.66