Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.20 / $19.95 / $112.20	Facility	26	$18.20	$19.95	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $95.50 / $229.09	Professional		$60.26	$95.50	$229.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $61.66 / $190.55	Professional		$41.69	$61.66	$190.55
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $64.57 / $154.88	Professional		$43.65	$64.57	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $109.65 / $251.19	Professional		$38.02	$109.65	$251.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $33.11 / $162.18	Professional		$25.12	$33.11	$162.18
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $23.44 / $30.20	Professional	26	$19.05	$23.44	$30.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $117.49 / $199.53	Professional		$95.50	$117.49	$199.53
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $21.38 / $36.31	Professional	26	$19.05	$21.38	$36.31
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $123.03 / $123.03 / $123.03	Facility	26	$123.03	$123.03	$123.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $758.58 / $758.58	Professional		$645.65	$758.58	$758.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $102.33 / $128.82	Professional		$27.54	$102.33	$128.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $114.82 / $257.04	Professional		$41.69	$114.82	$257.04
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $53.70 / $107.15	Professional		$31.62	$53.70	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $89.13 / $223.87	Professional		$43.65	$89.13	$223.87