Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.45 / $3.73 / $21.81	Facility	26	$3.45	$3.73	$21.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.21 / $54.15 / $225.00	Professional		$41.21	$54.15	$225.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.96 / $50.96 / $52.57	Professional		$50.96	$50.96	$52.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.26 / $59.72 / $129.24	Professional		$43.26	$59.72	$129.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $48.66 / $69.23 / $131.83	Professional		$48.66	$69.23	$131.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $4.21 / $4.21 / $4.21	Facility	26	$4.21	$4.21	$4.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.99 / $75.53 / $151.25	Professional		$51.99	$75.53	$151.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $14.86 / $22.61 / $84.72	Professional		$14.86	$22.61	$84.72
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $3.98 / $5.71 / $7.54	Professional	26	$3.98	$5.71	$7.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.57 / $58.67 / $117.63	Professional		$46.57	$58.67	$117.63
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $3.29 / $4.58 / $8.36	Professional	26	$3.29	$4.58	$8.36
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $8.31 / $38.06 / $100.00	Facility	26	$8.31	$38.06	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $442.90 / $456.19 / $456.19	Professional		$442.90	$456.19	$456.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.35 / $32.34 / $65.69	Professional		$5.35	$32.34	$65.69
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $4.21 / $4.21 / $4.21	Facility	26	$4.21	$4.21	$4.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.75 / $83.02 / $134.07	Professional		$54.75	$83.02	$134.07
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $170.44 / $170.44 / $170.44	Professional		$170.44	$170.44	$170.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $31.97 / $59.30	Professional		$17.82	$31.97	$59.30
United Facility/Professional Professional Modifier Low / Median / High Price $38.61 / $54.29 / $122.31	Professional		$38.61	$54.29	$122.31