Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.71 / $19.57 / $118.13	Facility	26	$17.71	$19.57	$118.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.31 / $82.91 / $155.88	Professional		$58.31	$82.91	$155.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.10 / $65.56 / $137.16	Professional		$42.10	$65.56	$137.16
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $35.15 / $49.37 / $123.16	Professional		$35.15	$49.37	$123.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.09 / $102.90 / $255.77	Professional		$40.09	$102.90	$255.77
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $20.25 / $30.83 / $142.09	Professional		$20.25	$30.83	$142.09
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $15.39 / $22.03 / $29.74	Professional	26	$15.39	$22.03	$29.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $100.07 / $203.75	Professional		$78.93	$100.07	$203.75
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $18.21 / $22.26 / $39.76	Professional	26	$18.21	$22.26	$39.76
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $44.71 / $100.00 / $126.65	Facility	26	$44.71	$100.00	$126.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $554.82 / $554.82 / $673.43	Professional		$554.82	$554.82	$673.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.80 / $32.34 / $113.11	Professional		$27.80	$32.34	$113.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.76 / $118.70 / $230.91	Professional		$44.76	$118.70	$230.91
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $304.22 / $304.22 / $304.22	Professional		$304.22	$304.22	$304.22
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $30.38 / $62.64 / $117.05	Professional		$30.38	$62.64	$117.05
United Facility/Professional Professional Modifier Low / Median / High Price $45.85 / $87.04 / $255.70	Professional		$45.85	$87.04	$255.70