Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.80 / $12.96 / $73.75	Facility	26	$11.80	$12.96	$73.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.63 / $60.70 / $150.96	Professional		$48.63	$60.70	$150.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.23 / $50.23 / $56.14	Professional		$50.23	$50.23	$56.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.57 / $67.50 / $141.05	Professional		$53.57	$67.50	$141.05
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $54.36 / $77.47 / $148.22	Professional		$54.36	$77.47	$148.22
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.27 / $14.27 / $14.27	Facility	26	$14.27	$14.27	$14.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.81 / $83.22 / $161.36	Professional		$58.81	$83.22	$161.36
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $62.40 / $89.02	Professional		$41.00	$62.40	$89.02
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $13.57 / $16.39 / $21.71	Professional	26	$13.57	$16.39	$21.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $49.90 / $62.29 / $133.00	Professional		$49.90	$62.29	$133.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $11.19 / $15.62 / $28.57	Professional	26	$11.19	$15.62	$28.57
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $28.91 / $169.20 / $232.58	Facility	26	$28.91	$169.20	$232.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $452.94 / $466.53 / $469.39	Professional		$452.94	$466.53	$469.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.94 / $32.34 / $73.94	Professional		$17.94	$32.34	$73.94
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $14.27 / $14.27 / $14.27	Facility	26	$14.27	$14.27	$14.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.40 / $90.39 / $146.81	Professional		$60.40	$90.39	$146.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $179.10 / $179.10 / $179.10	Professional		$179.10	$179.10	$179.10
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $49.20 / $74.59 / $105.86	Professional		$49.20	$74.59	$105.86
United Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $58.62 / $126.35	Professional		$42.28	$58.62	$126.35