Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $95.50 / $107.15 / $602.56	Facility	26	$95.50	$107.15	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $239.88 / $562.34	Professional		$177.83	$239.88	$562.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $263.03 / $562.34	Professional		$165.96	$263.03	$562.34
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $245.47 / $501.19	Professional		$173.78	$245.47	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $288.40 / $645.65	Professional		$181.97	$288.40	$645.65
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $208.93 / $398.11	Professional		$158.49	$208.93	$398.11
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $125.89 / $165.96	Professional	26	$104.71	$125.89	$165.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $281.84 / $478.63	Professional		$239.88	$281.84	$478.63
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $114.82 / $194.98	Professional	26	$102.33	$114.82	$194.98
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $660.69 / $660.69 / $660.69	Facility	26	$660.69	$660.69	$660.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,819.70 / $1,819.70	Professional		$1,548.82	$1,819.70	$1,819.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $173.78 / $323.59	Professional		$147.91	$173.78	$323.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $302.00 / $645.65	Professional		$190.55	$302.00	$645.65
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Professional		$831.76	$831.76	$831.76
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $309.03 / $446.68	Professional		$194.98	$309.03	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $239.88 / $575.44	Professional		$162.18	$239.88	$575.44