Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.02 / $3.02 / $19.95	Facility	26	$3.02	$3.02	$19.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $56.23 / $229.09	Professional		$40.74	$56.23	$229.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $61.66 / $131.83	Professional		$38.90	$61.66	$131.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $77.62 / $134.90	Professional		$58.88	$77.62	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $74.13 / $134.90	Professional		$51.29	$74.13	$134.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $19.95 / $93.33	Professional		$14.79	$19.95	$93.33
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $4.07 / $5.75 / $7.59	Professional	26	$4.07	$5.75	$7.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $64.57 / $123.03	Professional		$51.29	$64.57	$123.03
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $3.39 / $4.07 / $7.08	Professional	26	$3.39	$4.07	$7.08
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $60.26 / $66.07	Professional		$5.37	$60.26	$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 $51.29 / $75.86 / $131.83	Professional		$51.29	$75.86	$131.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $28.84 / $60.26	Professional		$16.98	$28.84	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $56.23 / $109.65	Professional		$38.90	$56.23	$109.65