Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.98 / $19.05 / $112.20	Facility	26	$16.98	$19.05	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $85.11 / $204.17	Professional		$61.66	$85.11	$204.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $58.88 / $181.97	Professional		$40.74	$58.88	$181.97
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $61.66 / $147.91	Professional		$42.66	$61.66	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $104.71 / $239.88	Professional		$39.81	$104.71	$239.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $30.20 / $147.91	Professional		$20.42	$30.20	$147.91
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $22.91 / $29.51	Professional	26	$15.49	$22.91	$29.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $104.71 / $194.98	Professional		$87.10	$104.71	$194.98
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 $120.23 / $125.89 / $125.89	Facility	26	$120.23	$125.89	$125.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $676.08 / $676.08	Professional		$549.54	$676.08	$676.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $85.11 / $112.20	Professional		$27.54	$85.11	$112.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $109.65 / $229.09	Professional		$40.74	$109.65	$229.09
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $48.98 / $107.15	Professional		$25.70	$48.98	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $85.11 / $213.80	Professional		$42.66	$85.11	$213.80