Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.61 / $42.68 / $251.74	Facility	26	$38.61	$42.68	$251.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.31 / $99.55 / $249.83	Professional		$77.31	$99.55	$249.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.56 / $99.00 / $180.85	Professional		$66.56	$99.00	$180.85
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $61.34 / $79.01 / $184.80	Professional		$61.34	$79.01	$184.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.66 / $118.46 / $290.68	Professional		$70.66	$118.46	$290.68
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $48.23 / $61.17 / $179.16	Professional		$48.23	$61.17	$179.16
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $32.31 / $40.98 / $63.10	Professional	26	$32.31	$40.98	$63.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.99 / $128.47 / $236.74	Professional		$100.99	$128.47	$236.74
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $38.61 / $47.22 / $84.37	Professional	26	$38.61	$47.22	$84.37
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $95.01 / $186.22 / $204.11	Facility	26	$95.01	$186.22	$204.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $706.46 / $706.46 / $866.33	Professional		$706.46	$706.46	$866.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $146.47	Professional		$32.34	$32.34	$146.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $82.97 / $149.13 / $290.22	Professional		$82.97	$149.13	$290.22
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $359.35 / $359.35 / $359.35	Professional		$359.35	$359.35	$359.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $61.17 / $107.33 / $147.58	Professional		$61.17	$107.33	$147.58
United Facility/Professional Professional Modifier Low / Median / High Price $70.30 / $107.60 / $309.94	Professional		$70.30	$107.60	$309.94