Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.07 / $52.13 / $309.61	Facility	26	$47.07	$52.13	$309.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.20 / $111.72 / $477.53	Professional		$90.20	$111.72	$477.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.84 / $97.84 / $97.84	Professional		$97.84	$97.84	$97.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.23 / $109.39 / $202.21	Professional		$77.23	$109.39	$202.21
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $80.15 / $100.00 / $241.59	Professional		$80.15	$100.00	$241.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.49 / $136.72 / $334.96	Professional		$86.49	$136.72	$334.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $65.59 / $83.20 / $189.09	Professional		$65.59	$83.20	$189.09
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $53.14 / $56.85 / $76.75	Professional	26	$53.14	$56.85	$76.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.12 / $137.10 / $258.91	Professional		$107.12	$137.10	$258.91
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $46.93 / $57.45 / $102.61	Professional	26	$46.93	$57.45	$102.61
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $115.42 / $225.58 / $247.81	Facility	26	$115.42	$225.58	$247.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $803.29 / $803.29 / $918.75	Professional		$803.29	$803.29	$918.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $155.28	Professional		$32.34	$32.34	$155.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $98.56 / $160.12 / $308.08	Professional		$98.56	$160.12	$308.08
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $400.58 / $400.58 / $400.58	Professional		$400.58	$400.58	$400.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $83.20 / $127.44 / $169.37	Professional		$83.20	$127.44	$169.37
United Facility/Professional Professional Modifier Low / Median / High Price $81.91 / $119.00 / $313.87	Professional		$81.91	$119.00	$313.87