Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $8.91 / $52.48	Facility	26	$7.94	$8.91	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $57.54 / $229.09	Professional		$43.65	$57.54	$229.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $89.13 / $165.96	Professional		$57.54	$89.13	$165.96
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $89.13 / $154.88	Professional		$67.61	$89.13	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $81.28 / $158.49	Professional		$54.95	$81.28	$158.49
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $81.28 / $104.71	Professional		$67.61	$81.28	$104.71
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $31.62 / $41.69	Professional	26	$11.22	$31.62	$41.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $60.26 / $194.98	Professional		$48.98	$60.26	$194.98
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $11.22 / $19.50	Professional	26	$9.12	$11.22	$19.50
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $169.82 / $169.82 / $234.42	Facility	26	$169.82	$169.82	$234.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Professional		$616.60	$616.60	$616.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $52.48 / $66.07	Professional		$13.49	$52.48	$66.07
Optum Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $39.81	Professional		$30.90	$30.90	$39.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $87.10 / $151.36	Professional		$56.23	$87.10	$151.36
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $141.25 / $223.87	Professional		$61.66	$141.25	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $60.26 / $123.03	Professional		$40.74	$60.26	$123.03