Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.93 / $62.91 / $374.80	Facility	26	$56.93	$62.91	$374.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.34 / $131.97 / $207.31	Professional		$108.34	$131.97	$207.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.91 / $138.63 / $251.99	Professional		$90.91	$138.63	$251.99
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $104.21 / $252.55	Professional		$83.18	$104.21	$252.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.76 / $156.88 / $386.29	Professional		$93.76	$156.88	$386.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $81.41 / $103.25 / $213.18	Professional		$81.41	$103.25	$213.18
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $64.31 / $69.18 / $93.39	Professional	26	$64.31	$69.18	$93.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $121.14 / $154.44 / $276.33	Professional		$121.14	$154.44	$276.33
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $57.10 / $69.92 / $124.87	Professional	26	$57.10	$69.92	$124.87
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $140.78 / $274.01 / $301.39	Facility	26	$140.78	$274.01	$301.39
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,037.78 / $1,240.15 / $1,240.15	Professional		$1,037.78	$1,240.15	$1,240.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $191.19	Professional		$32.34	$32.34	$191.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.73 / $193.88 / $383.29	Professional		$109.73	$193.88	$383.29
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $471.60 / $471.60 / $471.60	Professional		$471.60	$471.60	$471.60
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $103.25 / $151.81 / $210.19	Professional		$103.25	$151.81	$210.19
United Facility/Professional Professional Modifier Low / Median / High Price $96.70 / $141.56 / $400.87	Professional		$96.70	$141.56	$400.87