Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.97 / $56.18 / $340.48	Facility	26	$50.97	$56.18	$340.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.11 / $349.42 / $1,024.74	Professional		$309.11	$349.42	$1,024.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.82 / $60.37 / $215.71	Professional	26	$50.82	$60.37	$215.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.58 / $336.65 / $411.48	Professional		$208.58	$336.65	$411.48
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $48.53 / $63.91 / $79.88	Professional	26	$48.53	$63.91	$79.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $209.79 / $327.93 / $637.47	Professional		$209.79	$327.93	$637.47
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $50.20 / $66.13 / $130.88	Professional	26	$50.20	$66.13	$130.88
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $186.14 / $272.50 / $667.83	Professional		$186.14	$272.50	$667.83
Blue Shield Facility/Professional Professional Modifier 26 Low / Median / High Price $37.14 / $50.00 / $121.03	Professional	26	$37.14	$50.00	$121.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.69 / $453.33 / $1,048.90	Professional		$243.69	$453.33	$1,048.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.75 / $72.06 / $163.12	Professional	26	$55.75	$72.06	$163.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $81.81 / $103.77 / $626.66	Professional		$81.81	$103.77	$626.66
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $41.73 / $52.92 / $85.55	Professional	26	$41.73	$52.92	$85.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $345.45 / $438.14 / $756.02	Professional		$345.45	$438.14	$756.02
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $52.31 / $64.04 / $114.38	Professional	26	$52.31	$64.04	$114.38
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $128.97 / $251.32 / $276.20	Facility	26	$128.97	$251.32	$276.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,222.29 / $2,222.29 / $2,930.55	Professional		$2,222.29	$2,222.29	$2,930.55
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $447.83 / $774.69 / $774.69	Professional	26	$447.83	$774.69	$774.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $475.21	Professional		$32.34	$32.34	$475.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $277.57 / $520.61 / $923.66	Professional		$277.57	$520.61	$923.66
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $55.75 / $73.09 / $154.06	Professional	26	$55.75	$73.09	$154.06
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,106.93 / $1,106.93 / $1,106.93	Professional		$1,106.93	$1,106.93	$1,106.93
Sutter Health Plus Facility/Professional Professional Modifier 26 Low / Median / High Price $188.95 / $188.95 / $188.95	Professional	26	$188.95	$188.95	$188.95
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $103.77 / $199.52 / $516.27	Professional		$103.77	$199.52	$516.27
United Facility/Professional Professional Modifier Low / Median / High Price $236.54 / $335.27 / $869.25	Professional		$236.54	$335.27	$869.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.60 / $61.74 / $154.91	Professional	26	$44.60	$61.74	$154.91