Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $134.90 / $147.91 / $831.76	Facility	26	$134.90	$147.91	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $204.17 / $645.65	Professional		$169.82	$204.17	$645.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $190.55 / $446.68	Professional		$138.04	$190.55	$446.68
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $213.80 / $426.58	Professional		$154.88	$213.80	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $234.42 / $524.81	Professional		$158.49	$234.42	$524.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $93.33 / $338.84	Professional		$70.79	$93.33	$338.84
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $70.79 / $229.09	Professional	26	$53.70	$70.79	$229.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $245.47 / $436.52	Professional		$208.93	$245.47	$436.52
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $147.91 / $165.96 / $281.84	Professional	26	$147.91	$165.96	$281.84
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $954.99 / $954.99 / $954.99	Facility	26	$954.99	$954.99	$954.99
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,513.56 / $1,513.56	Professional		$1,348.96	$1,513.56	$1,513.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $208.93 / $263.03	Professional		$56.23	$208.93	$263.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $245.47 / $512.86	Professional		$154.88	$245.47	$512.86
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Professional		$660.69	$660.69	$660.69
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $151.36 / $239.88	Professional		$87.10	$151.36	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $204.17 / $446.68	Professional		$147.91	$204.17	$446.68